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QUEENS NASSAU MENTAL HEALTH COUNSELING, PLLC

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Company Details

Name: QUEENS NASSAU MENTAL HEALTH COUNSELING, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Sep 2019 (6 years ago)
Entity Number: 5628835
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 40 SOUTH 16TH STREET, NEW HYDE PARK, NY, United States, 11040

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 40 SOUTH 16TH STREET, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1093336125
Certification Date:
2020-04-29

Authorized Person:

Name:
ESHIKA KALAM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
Yes

Contacts:

Fax:
7188061435

Filings

Filing Number Date Filed Type Effective Date
200317000773 2020-03-17 CERTIFICATE OF PUBLICATION 2020-03-17
190927000016 2019-09-27 ARTICLES OF ORGANIZATION 2019-09-27

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State