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FAMILY CARE COUNSELING SERVICES, LCSW, P.C.

Company Details

Name: FAMILY CARE COUNSELING SERVICES, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Dec 1996 (28 years ago)
Entity Number: 2096077
ZIP code: 11764
County: Suffolk
Place of Formation: New York
Address: 595-20 ROUTE 25A, MILLER PLACE, NY, United States, 11764

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 595-20 ROUTE 25A, MILLER PLACE, NY, United States, 11764

Chief Executive Officer

Name Role Address
KATHLEEN VANESSENDELFT Chief Executive Officer 595-20 ROUTE 25A, MILLER PLACE, NY, United States, 11764

National Provider Identifier

NPI Number:
1467578575

Authorized Person:

Name:
MRS. KATHLEEN ANNE VAN ESSENDELFT
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
6317445677

History

Start date End date Type Value
1998-12-24 2005-01-14 Address 595 RT 25A SUITE 18, MILLER PLACE, NY, 11764, USA (Type of address: Chief Executive Officer)
1998-12-24 2005-01-14 Address 595-18 ROUTE 24A, MILLER PLACE, NY, 11764, USA (Type of address: Principal Executive Office)
1996-12-24 2005-01-14 Address 595-18 ROUTE 25A, MILLER PLACE, NY, 11764, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141210006301 2014-12-10 BIENNIAL STATEMENT 2014-12-01
121228002129 2012-12-28 BIENNIAL STATEMENT 2012-12-01
110210003322 2011-02-10 BIENNIAL STATEMENT 2010-12-01
081208002828 2008-12-08 BIENNIAL STATEMENT 2008-12-01
071226000138 2007-12-26 CERTIFICATE OF AMENDMENT 2007-12-26

Date of last update: 01 Apr 2025

Sources: New York Secretary of State