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INTENTIONAL WELLNESS PSYCHOTHERAPY, LCSW, PLLC

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Company Details

Name: INTENTIONAL WELLNESS PSYCHOTHERAPY, LCSW, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Nov 2023 (2 years ago)
Entity Number: 7185746
ZIP code: 10036
County: New York
Place of Formation: New York
Address: 19 w. 45th st.,, ste 705, NEW YORK, NY, United States, 10036

DOS Process Agent

Name Role Address
the llc DOS Process Agent 19 w. 45th st.,, ste 705, NEW YORK, NY, United States, 10036

National Provider Identifier

NPI Number:
1043088081
Certification Date:
2023-12-19

Authorized Person:

Name:
AMY GOTTHEIMER
Role:
EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-11-17 2024-02-15 Address 19 w. 45th st.,, ste 705, NEW YORK, NY, 10036, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240215002166 2024-02-15 CERTIFICATE OF PUBLICATION 2024-02-15
231117000608 2023-11-16 ARTICLES OF ORGANIZATION 2023-11-16

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State