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BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C.

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Company Details

Name: BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Apr 2013 (12 years ago)
Entity Number: 4392617
ZIP code: 11423
County: Queens
Place of Formation: New York
Address: 204-17 HILLSIDE AVE SUITE #309, HOLLIS, NY, United States, 11423

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 204-17 HILLSIDE AVE SUITE #309, HOLLIS, NY, United States, 11423

National Provider Identifier

NPI Number:
1881039022

Authorized Person:

Name:
MS. DOROTHY FRAZIER
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
7184752122

Filings

Filing Number Date Filed Type Effective Date
130423000498 2013-04-23 CERTIFICATE OF INCORPORATION 2013-04-23

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State