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REVIVE PSYCHO THERAPY LLC

Company Details

Name: REVIVE PSYCHO THERAPY LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Mar 2024 (a year ago)
Entity Number: 7278824
ZIP code: 10468
County: New York
Place of Formation: New York
Address: 2800 PARKVIEW TERRACE, 5A, BRONX, NY, United States, 10468

DOS Process Agent

Name Role Address
REVIVE PSYCHO THERAPY LLC DOS Process Agent 2800 PARKVIEW TERRACE, 5A, BRONX, NY, United States, 10468

National Provider Identifier

NPI Number:
1447078480
Certification Date:
2024-09-30

Authorized Person:

Name:
MISS MELISSA SALCE
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240313004104 2024-03-13 ARTICLES OF ORGANIZATION 2024-03-13

Date of last update: 19 Mar 2025

Sources: New York Secretary of State