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BORGER MENTAL HEALTH COUNSELING P.C.

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Company Details

Name: BORGER MENTAL HEALTH COUNSELING P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Apr 2018 (7 years ago)
Entity Number: 5332067
ZIP code: 11950
County: Suffolk
Place of Formation: New York
Address: 167 SOUTH HAVEN AVENUE, MASTIC, NY, United States, 11950

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
NICHOLE BORGER DOS Process Agent 167 SOUTH HAVEN AVENUE, MASTIC, NY, United States, 11950

National Provider Identifier

NPI Number:
1164989885

Authorized Person:

Name:
NICOLE M BORGER
Role:
PSYCHOTHERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
3477102617

Filings

Filing Number Date Filed Type Effective Date
180430000578 2018-04-30 CERTIFICATE OF INCORPORATION 2018-04-30

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State