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MINDFUL ERA NP IN PSYCHIATRY P.C.

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Company Details

Name: MINDFUL ERA NP IN PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Mar 2023 (2 years ago)
Entity Number: 6767736
ZIP code: 11101
County: Queens
Place of Formation: New York
Address: 30-10 41st avenue,, suite 238, LONG ISLAND CITY, NY, United States, 11101

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the p.c. DOS Process Agent 30-10 41st avenue,, suite 238, LONG ISLAND CITY, NY, United States, 11101

National Provider Identifier

NPI Number:
1790487619
Certification Date:
2024-10-10

Authorized Person:

Name:
RASHAD PREVILLON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
3477322087

History

Start date End date Type Value
2023-05-05 2023-05-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-05 2024-12-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-17 2023-05-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-17 2025-01-06 Address 196-24 89th road, HOLLIS, NY, 11423, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250106000135 2024-12-19 CERTIFICATE OF AMENDMENT 2024-12-19
230317002975 2023-03-17 CERTIFICATE OF INCORPORATION 2023-03-17

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State