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SHILOH PSYCHOLOGICAL CONSULTING PLLC

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Company Details

Name: SHILOH PSYCHOLOGICAL CONSULTING PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Dec 2010 (15 years ago)
Entity Number: 4027905
ZIP code: 11238
County: New York
Place of Formation: New York
Address: 349 CARLTON AVENUE, BROOKLYN, NY, United States, 11238

DOS Process Agent

Name Role Address
KAY E. JACKSON, PH.D DOS Process Agent 349 CARLTON AVENUE, BROOKLYN, NY, United States, 11238

National Provider Identifier

NPI Number:
1346718889

Authorized Person:

Name:
MAYA JOHNSON
Role:
ASSISTANT DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2125647819

Filings

Filing Number Date Filed Type Effective Date
190115000434 2019-01-15 CERTIFICATE OF AMENDMENT 2019-01-15
180719000814 2018-07-19 CERTIFICATE OF AMENDMENT 2018-07-19
110209000333 2011-02-09 CERTIFICATE OF PUBLICATION 2011-02-09
101208000112 2010-12-08 ARTICLES OF ORGANIZATION 2010-12-08

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State