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HER BLACK THERAPIST LCSW P.C.

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Company Details

Name: HER BLACK THERAPIST LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Dec 2020 (4 years ago)
Date of dissolution: 17 Oct 2023
Entity Number: 5902468
ZIP code: 11216
County: Kings
Place of Formation: New York
Address: 1080 BERGEN STREET SUITE 122, BROOKLYN, NY, United States, 11216

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1080 BERGEN STREET SUITE 122, BROOKLYN, NY, United States, 11216

National Provider Identifier

NPI Number:
1457973539
Certification Date:
2021-01-19

Authorized Person:

Name:
KALISHA SMITH
Role:
OWNER/ CEO
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2020-12-23 2023-09-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2020-12-23 2023-10-17 Address 1080 BERGEN STREET SUITE 122, BROOKLYN, NY, 11216, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231017000620 2023-09-27 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-09-27
201223000153 2020-12-23 CERTIFICATE OF INCORPORATION 2020-12-23

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State