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PRISM PSYCHOTHERAPY LCSW, P.C.

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Company Details

Name: PRISM PSYCHOTHERAPY LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Oct 2017 (8 years ago)
Entity Number: 5221859
ZIP code: 10998
County: Orange
Place of Formation: New York
Address: 540 LOWER ROAD, WESTTOWN, NY, United States, 10998

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 540 LOWER ROAD, WESTTOWN, NY, United States, 10998

National Provider Identifier

NPI Number:
1619479961
Certification Date:
2024-04-15

Authorized Person:

Name:
MARY E. PACOS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171023000160 2017-10-23 CERTIFICATE OF INCORPORATION 2017-10-23

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State