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BUSH COUNSELING SERVICE LCSW PLLC

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Company Details

Name: BUSH COUNSELING SERVICE LCSW PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Sep 2020 (5 years ago)
Entity Number: 5834569
ZIP code: 13642
County: St. Lawrence
Place of Formation: New York
Address: 4673 STATE HIGHWAY 58, GOUVERNEUR, NY, United States, 13642

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 4673 STATE HIGHWAY 58, GOUVERNEUR, NY, United States, 13642

National Provider Identifier

NPI Number:
1467093054
Certification Date:
2020-12-21

Authorized Person:

Name:
SELENA BUSH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3868886465

Filings

Filing Number Date Filed Type Effective Date
200914000204 2020-09-14 ARTICLES OF ORGANIZATION 2020-09-14

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State