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NORTH VILLAGE MENTAL HEALTH COUNSELING SERVICES P.C.

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Company Details

Name: NORTH VILLAGE MENTAL HEALTH COUNSELING SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 2020 (5 years ago)
Entity Number: 5680065
ZIP code: 11570
County: Nassau
Place of Formation: New York
Address: 45 NO. VILLAGE AVENUE, SUITE 2B, ROCKVILLE CENTRE, NY, United States, 11570

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 45 NO. VILLAGE AVENUE, SUITE 2B, ROCKVILLE CENTRE, NY, United States, 11570

National Provider Identifier

NPI Number:
1922720820
Certification Date:
2022-09-21

Authorized Person:

Name:
LUIS RIVERA
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200102000241 2020-01-02 CERTIFICATE OF INCORPORATION 2020-01-02

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State