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WAVES PSYCHOTHERAPY GROUP LCSW P.C.

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Company Details

Name: WAVES PSYCHOTHERAPY GROUP LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Feb 2025 (6 months ago)
Entity Number: 7527089
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 21 brilner dr, SMITHTOWN, NY, United States, 11787

Shares Details

Shares issued 2000

Share Par Value 0.01

Type PAR VALUE

Agent

Name Role Address
samantha conti Agent 21 brilner dr, SMITHTOWN, NY, 11787

DOS Process Agent

Name Role Address
c/o samantha conti DOS Process Agent 21 brilner dr, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:
1346041175
Certification Date:
2025-03-19

Authorized Person:

Name:
MRS. SAMANTHA ANN CONTI
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
250205003536 2025-02-05 CERTIFICATE OF INCORPORATION 2025-02-05

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State