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HEALING THE WOUNDED SOUL, LLC

Company Details

Name: HEALING THE WOUNDED SOUL, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Aug 2023 (2 years ago)
Entity Number: 7002578
ZIP code: 10591
County: Westchester
Place of Formation: New York
Address: 11 Depeyster St, Apt 1, Sleepy Hollow, NY, United States, 10591

DOS Process Agent

Name Role Address
Danielle Russo DOS Process Agent 11 Depeyster St, Apt 1, Sleepy Hollow, NY, United States, 10591

National Provider Identifier

NPI Number:
1306630199
Certification Date:
2025-04-07

Authorized Person:

Name:
KRISTEN DUCHARME
Role:
CREDENTIALING/BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
4014244531

Filings

Filing Number Date Filed Type Effective Date
230813000025 2023-08-13 ARTICLES OF ORGANIZATION 2023-08-13

Date of last update: 20 Mar 2025

Sources: New York Secretary of State