| Entity Name: | AFFECT PROVIDER GROUP, P.S.C., P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 24 Aug 2023 (Companies founded in August 2023) |
| Business ALEI: | 2845774 |
| Annual report due: | 24 Aug 2025 |
| NAICS code: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
| Business address: | 1640 BORO PL 4TH FL, MCLEAN, VA, 22102, United States |
| Mailing address: | 1640 BORO PL 4TH FL, MCLEAN, VA, United States, 22102 |
| Place of Formation: | KENTUCKY |
| E-Mail: | accounting@affecttherapeutics.com |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DOUG ELWOOD, M.D. | Officer | 1640 BORO PL 4TH FL, MCLEAN, VA, 22102, United States | 220 5TH AVE, 17TH FL, NY, NY, 10001, United States |
| RENEE MULLINGS | Officer | 237 N 3RD ST., 2ND FL, STE 3, DANVILLE, KY, 40422, United States | 237 N 3RD ST., 2ND FL, STE 3, DANVILLE, KY, 40422, United States |
| ANDREA LAPUS | Officer | 1640 BORO PL, 4TH FL, MCLEAN, VA, 22102, United States | 1640 BORO PL, 4TH FL, MCLEAN, VA, 22102, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DOUG ELWOOD, M.D. | Director | 1640 BORO PL 4TH FL, MCLEAN, VA, 22102, United States | 220 5TH AVE, 17TH FL, NY, NY, 10001, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012447381 | 2024-08-22 | No data | Annual Report | Annual Report | No data |
| BF-0011944275 | 2023-08-24 | 2023-08-24 | Business Registration | Certificate of Authority | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
