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MODEL OF RESILIENCE PSYCHOTHERAPY, LCSW, PLLC

Company Details

Name: MODEL OF RESILIENCE PSYCHOTHERAPY, LCSW, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Apr 2023 (2 years ago)
Entity Number: 6799508
ZIP code: 14612
County: Monroe
Place of Formation: New York
Address: 53 falleson road, ROCHESTER, NY, United States, 14612

DOS Process Agent

Name Role Address
the llc DOS Process Agent 53 falleson road, ROCHESTER, NY, United States, 14612

National Provider Identifier

NPI Number:
1073374781
Certification Date:
2024-01-19

Authorized Person:

Name:
MISS EBONESHA GRAHAM
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230417008370 2023-04-11 ARTICLES OF ORGANIZATION 2023-04-11

Date of last update: 20 Mar 2025

Sources: New York Secretary of State