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MY QUIET PLACE, MENTAL HEALTH COUNSELING P.C.

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Company Details

Name: MY QUIET PLACE, MENTAL HEALTH COUNSELING P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jun 2016 (9 years ago)
Entity Number: 4971472
ZIP code: 10305
County: Richmond
Place of Formation: New York
Address: 115 GRAHAM BLVD, STATEN ISLAND, NY, United States, 10305
Principal Address: 115 Graham Blvd, Staten Island, NY, United States, 10305

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 115 GRAHAM BLVD, STATEN ISLAND, NY, United States, 10305

Chief Executive Officer

Name Role Address
MARINA KRUGOLETS Chief Executive Officer 115 GRAHAM BLVD, STATEN ISLAND, NY, United States, 10305

National Provider Identifier

NPI Number:
1932708682
Certification Date:
2020-10-23

Authorized Person:

Name:
MARINA KRUGOLETS
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220329003812 2022-03-29 BIENNIAL STATEMENT 2020-06-01
160630000639 2016-06-30 CERTIFICATE OF INCORPORATION 2016-06-30

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State