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KELLY E. BUNT, LCSW, P.C.

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Company Details

Name: KELLY E. BUNT, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 May 2018 (7 years ago)
Entity Number: 5343719
ZIP code: 12601
County: Dutchess
Place of Formation: New York
Address: 80 Washington St., Suite 305, POUGHKEEPSIE, NY, United States, 12601
Principal Address: 80 Washington St., Suite 305, Poughkeepsie, NY, United States, 12601

Contact Details

Phone +1 845-867-4926

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 80 Washington St., Suite 305, POUGHKEEPSIE, NY, United States, 12601

Chief Executive Officer

Name Role Address
KELLY E. BUNT Chief Executive Officer 80 WASHINGTON ST., SUITE 305, POUGHKEEPSIE, NY, United States, 12601

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
KELLY BUNT
Ownership and Self-Certifications:
Women-Owned Small Business, Woman Owned
User ID:
P2338482

Unique Entity ID

Unique Entity ID:
EDZHY7YSTGC1
CAGE Code:
86SM1
UEI Expiration Date:
2026-01-21

Business Information

Activation Date:
2025-01-23
Initial Registration Date:
2018-10-11

National Provider Identifier

NPI Number:
1528542057
Certification Date:
2024-01-04

Authorized Person:

Name:
KELLY BUNT BISHOP
Role:
OWNER AND CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
8459052434

History

Start date End date Type Value
2018-05-17 2024-02-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2018-05-17 2024-02-26 Address 297 MILL ST. SUITE 202, POUGHKEEPSIE, NY, 12601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240226003449 2024-02-26 BIENNIAL STATEMENT 2024-02-26
180517000651 2018-05-17 CERTIFICATE OF INCORPORATION 2018-05-17

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State