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FAZZINO MENTAL HEALTH COUNSELING, PLLC

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Company Details

Name: FAZZINO MENTAL HEALTH COUNSELING, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 May 2018 (7 years ago)
Entity Number: 5344723
ZIP code: 14086
County: Erie
Place of Formation: New York
Address: 5434 GENESEE ST, SUITE 7, LANCASTER, NY, United States, 14086

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 5434 GENESEE ST, SUITE 7, LANCASTER, NY, United States, 14086

National Provider Identifier

NPI Number:
1790423804
Certification Date:
2022-05-31

Authorized Person:

Name:
JEFFREY FAZZINO
Role:
LICENSED MENTAL HEALTH COUNSELOR
Phone:

Taxonomy:

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

Contacts:

Fax:
7162653801

Filings

Filing Number Date Filed Type Effective Date
181106000580 2018-11-06 CERTIFICATE OF PUBLICATION 2018-11-06
180521000439 2018-05-21 ARTICLES OF ORGANIZATION 2018-05-21

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State