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MIND BLOOM PSYCHIATRY HEALTH WELLNESS PLLC

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Company Details

Name: MIND BLOOM PSYCHIATRY HEALTH WELLNESS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Nov 2024 (7 months ago)
Entity Number: 7474403
ZIP code: 11581
County: Nassau
Place of Formation: New York
Address: 70 east sunrise highway, suite 500, VALLEY STREAM, NY, United States, 11581

DOS Process Agent

Name Role Address
maanvi g kumar DOS Process Agent 70 east sunrise highway, suite 500, VALLEY STREAM, NY, United States, 11581

National Provider Identifier

NPI Number:
1962296806
Certification Date:
2025-03-23

Authorized Person:

Name:
MAANVI KUMAR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
241127003092 2024-11-27 ARTICLES OF ORGANIZATION 2024-11-27

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State