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FOREST HILLS DBT CENTER, LLC

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Company Details

Name: FOREST HILLS DBT CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Aug 2017 (8 years ago)
Entity Number: 5187847
ZIP code: 11375
County: New York
Place of Formation: New York
Address: 102-45 62ND ROAD, UNIT 4R, FOREST HILLS, NY, United States, 11375

DOS Process Agent

Name Role Address
FOREST HILLS DBT CENTER, LLC DOS Process Agent 102-45 62ND ROAD, UNIT 4R, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1639690043

Authorized Person:

Name:
DR. JOANNA KRISTEVA
Role:
PSYCHOTHERAPIST
Phone:

Taxonomy:

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

Contacts:

Fax:
9177259299

Filings

Filing Number Date Filed Type Effective Date
170816010506 2017-08-16 ARTICLES OF ORGANIZATION 2017-08-16

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State