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COUNSELING SERVICES OF LONG ISLAND, LCSW, P.C.

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Company Details

Name: COUNSELING SERVICES OF LONG ISLAND, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Oct 2017 (8 years ago)
Entity Number: 5214186
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 54 CHICAGO AVE., MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 54 CHICAGO AVE., MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1760982078

Authorized Person:

Name:
PENNY SIEGMANN-BEINER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
5168040448

Filings

Filing Number Date Filed Type Effective Date
171006000440 2017-10-06 CERTIFICATE OF INCORPORATION 2017-10-06

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State