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GO FORWARD PSYCHOTHERAPY LCSW-R PLLC

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Company Details

Name: GO FORWARD PSYCHOTHERAPY LCSW-R PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Mar 2020 (5 years ago)
Entity Number: 5726729
ZIP code: 11716
County: Suffolk
Place of Formation: New York
Address: 193 CENTRAL AVENUE, BOHEMIA, NY, United States, 11716

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 193 CENTRAL AVENUE, BOHEMIA, NY, United States, 11716

National Provider Identifier

NPI Number:
1871125971
Certification Date:
2020-02-06

Authorized Person:

Name:
JILL BROWN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2020-03-12 2023-12-06 Address 193 CENTRAL AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231206002916 2023-12-01 CERTIFICATE OF AMENDMENT 2023-12-01
200512000704 2020-05-12 CERTIFICATE OF PUBLICATION 2020-05-12
200312000538 2020-03-12 ARTICLES OF ORGANIZATION 2020-03-12

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State