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KAPWA PSYCHOTHERAPY, PLLC

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Company Details

Name: KAPWA PSYCHOTHERAPY, PLLC
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Nov 2024 (7 months ago)
Entity Number: 7476060
ZIP code: 19901
County: Albany
Place of Formation: Washington
Foreign Legal Name: KAPWA PSYCHOTHERAPY, PLLC
Address: 3500 SOUTH DUPONT HIGHWAY, DOVER, NY, United States, 19901

DOS Process Agent

Name Role Address
INCORPORATING SERVICES, LTD. DOS Process Agent 3500 SOUTH DUPONT HIGHWAY, DOVER, NY, United States, 19901

National Provider Identifier

NPI Number:
1144054008
Certification Date:
2024-08-31

Authorized Person:

Name:
TRISTAN VIZCONDE
Role:
LCSW
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2024-12-02 2025-06-04 Address 3500 SOUTH DUPONT HIGHWAY, DOVER, NY, 19901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250604000439 2025-06-03 CERTIFICATE OF PUBLICATION 2025-06-03
241202004578 2024-11-21 APPLICATION OF AUTHORITY 2024-11-21

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State