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BEWELL MENTAL HEALTH COUNSELING, PLLC

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Company Details

Name: BEWELL MENTAL HEALTH COUNSELING, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 May 2023 (2 years ago)
Entity Number: 6846431
ZIP code: 12207
County: Albany
Place of Formation: New York
Address: 418 BROADWAY, SUITE 4104, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 418 BROADWAY, SUITE 4104, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1922780204
Certification Date:
2023-08-04

Authorized Person:

Name:
JENNIFER DOESBURG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
5187044744

Filings

Filing Number Date Filed Type Effective Date
230530004195 2023-05-30 ARTICLES OF ORGANIZATION 2023-05-30

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State