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MINDFUL INTENTIONS LCSW PSYCHOTHERAPY, PLLC

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Company Details

Name: MINDFUL INTENTIONS LCSW PSYCHOTHERAPY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Mar 2024 (a year ago)
Entity Number: 7284383
ZIP code: 11747
County: Suffolk
Place of Formation: New York
Address: 1547 walt whitman rd, MELVILLE, NY, United States, 11747

DOS Process Agent

Name Role Address
the llc DOS Process Agent 1547 walt whitman rd, MELVILLE, NY, United States, 11747

National Provider Identifier

NPI Number:
1063278471
Certification Date:
2024-02-23

Authorized Person:

Name:
CHRISTY BUSH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2024-03-20 2024-06-05 Address 1547 walt whitman rd, MELVILLE, NY, 11747, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240605004008 2024-06-04 CERTIFICATE OF PUBLICATION 2024-06-04
240320001851 2024-03-19 ARTICLES OF ORGANIZATION 2024-03-19

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State