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CLINICAL, CONSULTATION AND SUPERVISION SERVICES LCSW, PLLC

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Company Details

Name: CLINICAL, CONSULTATION AND SUPERVISION SERVICES LCSW, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Aug 2010 (15 years ago)
Entity Number: 3980677
ZIP code: 11228
County: Bronx
Place of Formation: New York
Address: 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, United States, 11228

DOS Process Agent

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. DOS Process Agent 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, United States, 11228

National Provider Identifier

NPI Number:
1629329438

Authorized Person:

Name:
MS. DOMINIQUE NERESTAN
Role:
CLINICAL SOCIAL WORKER
Phone:

Taxonomy:

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

Contacts:

Fax:
8888124062

Filings

Filing Number Date Filed Type Effective Date
100804000113 2010-08-04 ARTICLES OF ORGANIZATION 2010-08-04

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State