216 LAKEVILLE RD, GREAT NECK, 11020, NEW YORK
					
				| Entity Name | WELLNESS SOURCE LICENSED CLINICAL SOCIAL WORK, P.C. | 
| Entity Number | 5574349 | 
| Status | ACTIVE | 
| Incorporation Date | 20th June 2019 | 
| Dos Process Address | 1 ELM ST., STE.4, GREAT NECK, 11021, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |