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IN BLOOM MENTAL HEALTH COUNSELING, LLC

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Company Details

Name: IN BLOOM MENTAL HEALTH COUNSELING, LLC
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Aug 2022 (3 years ago)
Entity Number: 7247359
ZIP code: 21093
County: Kings
Place of Formation: Maryland
Foreign Legal Name: IN BLOOM MENTAL HEALTH COUNSELING, LLC
Address: 2324 west joppa road, suite 410, LUTHERVILLE, MD, United States, 21093

DOS Process Agent

Name Role Address
the llc DOS Process Agent 2324 west joppa road, suite 410, LUTHERVILLE, MD, United States, 21093

National Provider Identifier

NPI Number:
1215547831
Certification Date:
2022-08-12

Authorized Person:

Name:
SHANDELLE HETHER-GRAY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
3473910191

Filings

Filing Number Date Filed Type Effective Date
240206002437 2022-08-11 APPLICATION OF AUTHORITY 2022-08-11

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State