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EASTERN SUFFOLK COUNSELING LCSW, PLLC

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Company Details

Name: EASTERN SUFFOLK COUNSELING LCSW, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Sep 2014 (11 years ago)
Entity Number: 4640391
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 475 EAST MAIN STREET, SUITE 111, PATCHOGUE, NY, United States, 11772

Contact Details

Phone +1 631-504-2102

DOS Process Agent

Name Role Address
JACQUELINE MENDOZA DOS Process Agent 475 EAST MAIN STREET, SUITE 111, PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1639529266

Authorized Person:

Name:
DR. RICHARD GIRARD-DOMENA
Role:
CLINICAL DORECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
6316865807

History

Start date End date Type Value
2014-09-23 2020-09-03 Address 4 43RD STREET, CENTEREACH, NY, 11720, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220901000690 2022-09-01 BIENNIAL STATEMENT 2022-09-01
200903060914 2020-09-03 BIENNIAL STATEMENT 2020-09-01
141209000786 2014-12-09 CERTIFICATE OF PUBLICATION 2014-12-09
140923000234 2014-09-23 ARTICLES OF ORGANIZATION 2014-09-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State