| LCA CASE NUMBER | I-200-23167-120079 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-16 |
| DECISION DATE | 2023-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Certified Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Complete Ketamine Solutions Hollywood LLC |
| EMPLOYER ADDRESS1 | 2450 Hollywood Blvd. |
| EMPLOYER ADDRESS2 | Suite 701 |
| EMPLOYER CITY | Hollywood |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19543675316 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Fletcher |
| EMPLOYER POC FIRST NAME | Clint |
| EMPLOYER POC JOB TITLE | Owner/Operator |
| EMPLOYER POC ADDRESS1 | 2450 Hollywood Blvd. |
| EMPLOYER POC ADDRESS2 | Suite 701 |
| EMPLOYER POC CITY | Hollywood |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33020 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19543675316 |
| EMPLOYER POC EMAIL | completeketaminehollywood@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Malik |
| AGENT ATTORNEY FIRST NAME | Bushra |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | Butzel Long, a professional corporation |
| AGENT ATTORNEY ADDRESS2 | 201 West Big Beaver Road, Suite 1200 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12482584470 |
| AGENT ATTORNEY EMAIL ADDRESS | malik@butzel.com |
| LAWFIRM NAME BUSINESS NAME | Butzel Long, a professional corporation |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MICHIGAN SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2450 Hollywood Blvd. |
| WORKSITE ADDRESS2 | Suite 701 |
| LCA CASE WORKLOC1 CITY | Hollywood |
| WORKSITE COUNTY | BROWARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33020 |
| LCA CASE WAGE RATE FROM | 89211 |
| LCA CASE WAGE RATE TO | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89211 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
