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OPTIMUM BEHAVIORAL SERVICES GROUP LLC

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Company Details

Name: OPTIMUM BEHAVIORAL SERVICES GROUP LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Jan 2024 (a year ago)
Entity Number: 7226932
ZIP code: 21061
County: Orange
Place of Formation: New York
Address: 213 Westport Bay Dr., Apt. 102, Glen Burnie, MD, United States, 21061

DOS Process Agent

Name Role Address
THE LIMITED LIABILITY COMPANY DOS Process Agent 213 Westport Bay Dr., Apt. 102, Glen Burnie, MD, United States, 21061

National Provider Identifier

NPI Number:
1720842040
Certification Date:
2024-02-07

Authorized Person:

Name:
MUTINTA CHESTNUT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240111004277 2024-01-11 ARTICLES OF ORGANIZATION 2024-01-11

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State