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BALANCED WELLNESS PSYCHOTHERAPY LCSW PLLC

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Company Details

Name: BALANCED WELLNESS PSYCHOTHERAPY LCSW PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Dec 2023 (a year ago)
Entity Number: 7237554
ZIP code: 12207
County: New York
Place of Formation: New York
Address: 418 broadway, ste r, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
the llc DOS Process Agent 418 broadway, ste r, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1184429011
Certification Date:
2025-02-14

Authorized Person:

Name:
MS. LINNETTA A DE LA CRUZ
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-01-25 2024-05-13 Address 418 broadway, ste r, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240513001287 2024-05-02 CERTIFICATE OF PUBLICATION 2024-05-02
240125000986 2023-12-29 ARTICLES OF ORGANIZATION 2023-12-29

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State