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BROKEN WALLS CRUSHED SIDEWALKS COUNSELING LCSW, P.C.

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Company Details

Name: BROKEN WALLS CRUSHED SIDEWALKS COUNSELING LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Feb 2018 (8 years ago)
Entity Number: 5284742
ZIP code: 12916
County: Franklin
Place of Formation: New York
Address: 17 AVERY ROAD, BRUSHTON, NY, United States, 12916

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 17 AVERY ROAD, BRUSHTON, NY, United States, 12916

National Provider Identifier

NPI Number:
1023538006

Authorized Person:

Name:
PENNY MCQUINN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180212000566 2018-02-12 CERTIFICATE OF INCORPORATION 2018-02-12

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State