| LCA CASE NUMBER | I-200-21076-154106 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-17 |
| DECISION DATE | 2021-03-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Child Psychiatrist |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-27 |
| END DATE | 2024-07-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Virginia South Psychiatric & Family Services, PC |
| EMPLOYER ADDRESS1 | 269 Medical Park Blvd |
| EMPLOYER CITY | Petersburg |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23805 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18048610700 |
| EMPLOYER PHONE EXT | 118 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Vadella |
| EMPLOYER POC FIRST NAME | Tony |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS 1 | 269 Medical Park Blvd |
| EMPLOYER POC CITY | Petersburg |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23805 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18048610700 |
| EMPLOYER POC PHONE EXT | 118 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Millburn |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY ADDRESS1 | 5040 Sadler Place |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Glen Allen |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23060 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18043608482 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Challa Law Offices, PLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 269 Medical Park Blvd |
| LCA CASE WORKLOC1 CITY | Petersburg |
| WORKSITE COUNTY | PETERSBURG CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23805 |
| LCA CASE WAGE RATE FROM | 275000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 262850 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
