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COLLABORATIVE THERAPY OF LONG ISLAND, LLC

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Company Details

Name: COLLABORATIVE THERAPY OF LONG ISLAND, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Feb 2018 (7 years ago)
Entity Number: 5288151
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Address: 649 commack rd, COMMACK, NY, United States, 11725

DOS Process Agent

Name Role Address
the llc DOS Process Agent 649 commack rd, COMMACK, NY, United States, 11725

National Provider Identifier

NPI Number:
1366943284

Authorized Person:

Name:
ROBBY PATRICK FOSTER
Role:
LICENSED MENTAL HEALTH COUNSELOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2018-02-16 2025-02-19 Address 48 MUNCEY RD, BAY SHORE, NY, 11706, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250219003708 2025-02-09 CERTIFICATE OF CHANGE BY ENTITY 2025-02-09
180216010235 2018-02-16 ARTICLES OF ORGANIZATION 2018-02-16

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State