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ALICE MIRIAM MARJORIE WOODSON WHITE, LCSW, P.C.

Company Details

Name: ALICE MIRIAM MARJORIE WOODSON WHITE, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Oct 2019 (6 years ago)
Entity Number: 5647034
ZIP code: 11733
County: Suffolk
Place of Formation: New York
Address: 290 MAIN STREET, SUITE 5A, SETAUKET, NY, United States, 11733

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 290 MAIN STREET, SUITE 5A, SETAUKET, NY, United States, 11733

National Provider Identifier

NPI Number:
1447879622
Certification Date:
2022-06-05

Authorized Person:

Name:
MS. ALICE MIRIAM MARJORIE WOODSON WHITE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
6316756410

Filings

Filing Number Date Filed Type Effective Date
191030000174 2019-10-30 CERTIFICATE OF INCORPORATION 2019-10-30

Date of last update: 23 Mar 2025

Sources: New York Secretary of State