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SPRING VALLEY WELLNESS LLC

Company Details

Name: SPRING VALLEY WELLNESS LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Nov 2023 (2 years ago)
Entity Number: 7183781
ZIP code: 10901
County: Rockland
Place of Formation: New York
Address: 400 Rella Blvd., Ste. 165 Holistic, Suffern, NY, United States, 10901

Agent

Name Role Address
Paola A Escobar Agent 400 Rella Blvd., Ste. 165 Holistic, Suffern, NY, 10901

DOS Process Agent

Name Role Address
THE LIMITED LIABILITY COMPANY DOS Process Agent 400 Rella Blvd., Ste. 165 Holistic, Suffern, NY, United States, 10901

National Provider Identifier

NPI Number:
1508606997
Certification Date:
2024-05-31

Authorized Person:

Name:
MR. LEO ESCOBAR
Role:
CREDENTIALING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
163WC1500X - Community Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
261QB0400X - Birthing Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QF0050X - Non-Surgical Family Planning Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
9733968832

History

Start date End date Type Value
2023-11-15 2025-04-16 Address 400 Rella Blvd., Ste. 165 Holistic, Suffern, NY, 10901, USA (Type of address: Registered Agent)
2023-11-15 2025-04-16 Address 400 Rella Blvd., Ste. 165 Holistic, Suffern, NY, 10901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250416004621 2025-04-10 CERTIFICATE OF CHANGE BY ENTITY 2025-04-10
231115002004 2023-11-15 ARTICLES OF ORGANIZATION 2023-11-15

Date of last update: 20 Mar 2025

Sources: New York Secretary of State