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PHOENIX RISING THERAPEUTIC SERVICES, LCSW, P.C.

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Company Details

Name: PHOENIX RISING THERAPEUTIC SERVICES, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Dec 2012 (13 years ago)
Entity Number: 4330000
ZIP code: 14803
County: Allegany
Place of Formation: New York
Address: 5295 EAST VALLEY ROAD, ALFRED STATION, NY, United States, 14803

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5295 EAST VALLEY ROAD, ALFRED STATION, NY, United States, 14803

National Provider Identifier

NPI Number:
1003295395

Authorized Person:

Name:
MARY BETH MCDONOUGH
Role:
SOLE OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
121207001003 2012-12-07 CERTIFICATE OF INCORPORATION 2012-12-07

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State