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SPIRITED WELLNESS LCSW, P.C.

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Company Details

Name: SPIRITED WELLNESS LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Dec 2022 (3 years ago)
Entity Number: 6665986
ZIP code: 10523
County: Kings
Place of Formation: New York
Address: 45 knollwood rd, suite 402, ELMSFORD, NY, United States, 10523

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
paola volquez DOS Process Agent 45 knollwood rd, suite 402, ELMSFORD, NY, United States, 10523

National Provider Identifier

NPI Number:
1750128849
Certification Date:
2024-07-15

Authorized Person:

Name:
PAOLA FRANCHESCA VOLQUEZ
Role:
LICENSED CLINICAL SOCIAL WORKER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
221212001418 2022-12-09 CERTIFICATE OF INCORPORATION 2022-12-09

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State