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PSYCHOTHERAPY AND MEDIATION, LCSW, P.C.

Company Details

Name: PSYCHOTHERAPY AND MEDIATION, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Aug 2011 (14 years ago)
Entity Number: 4129503
ZIP code: 12553
County: Orange
Place of Formation: New York
Address: 367 NEW WINDSOR HWY (ROUTE 32), SUITE #215, NEW WINDSOR, NY, United States, 12553

Contact Details

Phone +1 914-906-8919

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 367 NEW WINDSOR HWY (ROUTE 32), SUITE #215, NEW WINDSOR, NY, United States, 12553

National Provider Identifier

NPI Number:
1598061251
Certification Date:
2024-06-03

Authorized Person:

Name:
MRS. JOANNE M WASHINGTON
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8455671118

Filings

Filing Number Date Filed Type Effective Date
110811000511 2011-08-11 CERTIFICATE OF INCORPORATION 2011-08-11

Date of last update: 26 Mar 2025

Sources: New York Secretary of State