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NORTH SHORE ADDICTION AND MENTAL HEALTH COUNSELING SERVICES, PLLC

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Company Details

Name: NORTH SHORE ADDICTION AND MENTAL HEALTH COUNSELING SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 May 2012 (13 years ago)
Entity Number: 4241109
ZIP code: 11767
County: Suffolk
Place of Formation: New York
Address: 267 Smithtown Blvd, Ste 3, Nesconset, NY, United States, 11767

DOS Process Agent

Name Role Address
NORTH SHORE ADDICTION AND MENTAL HEALTH COUNSELING SERVICES, PLLC DOS Process Agent 267 Smithtown Blvd, Ste 3, Nesconset, NY, United States, 11767

National Provider Identifier

NPI Number:
1184021503

Authorized Person:

Name:
KIMBERLY LARSEN-KRUGMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
6313211005

Filings

Filing Number Date Filed Type Effective Date
211203000002 2021-12-03 BIENNIAL STATEMENT 2021-12-03
121217000546 2012-12-17 CERTIFICATE OF PUBLICATION 2012-12-17
120504000756 2012-05-04 ARTICLES OF ORGANIZATION 2012-05-04

USAspending Awards / Financial Assistance

Date:
2020-06-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
9500.00
Total Face Value Of Loan:
9500.00
Date:
2020-05-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
10201.00
Total Face Value Of Loan:
10201.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-05-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
10201
Current Approval Amount:
10201
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
10282.89

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State