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CLINICIANS OF THE DIASPORA, LLC

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Company Details

Name: CLINICIANS OF THE DIASPORA, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Feb 2018 (7 years ago)
Entity Number: 5283503
ZIP code: 11228
County: New York
Place of Formation: New York
Address: 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, United States, 11228

DOS Process Agent

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. DOS Process Agent 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, United States, 11228

Agent

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. Agent 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, 11228

National Provider Identifier

NPI Number:
1063013191
Certification Date:
2020-11-04

Authorized Person:

Name:
MS. MONICA THOMPSON
Role:
C.E.O.
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180209010042 2018-02-09 ARTICLES OF ORGANIZATION 2018-02-09

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State