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BRAVE NORTH THERAPY, LCSW, PLLC

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Company Details

Name: BRAVE NORTH THERAPY, LCSW, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Mar 2025 (3 months ago)
Entity Number: 7576826
County: Cayuga
Place of Formation: New York

DOS Process Agent

Name Role
the pllc DOS Process Agent

National Provider Identifier

NPI Number:
1285422881
Certification Date:
2025-04-17

Authorized Person:

Name:
KIMBERLY FORTIN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
250403001318 2025-03-27 ARTICLES OF ORGANIZATION 2025-03-27

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Date of last update: 05 Apr 2025

Sources: New York Secretary of State