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ENVISION BEHAVIORAL AND MENTAL HEALTH LLC

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Company Details

Name: ENVISION BEHAVIORAL AND MENTAL HEALTH LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Mar 2021 (4 years ago)
Entity Number: 5957023
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 450 WAVERLY AVE, BLDG 2 SUITE 1, PATCHOGUE, NY, United States, 11772

DOS Process Agent

Name Role Address
ENVISION BEHAVIORAL AND MENTAL HEALTH LLC DOS Process Agent 450 WAVERLY AVE, BLDG 2 SUITE 1, PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1083292973
Certification Date:
2021-03-31

Authorized Person:

Name:
SHAHZAD ZEB
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210305010630 2021-03-05 ARTICLES OF ORGANIZATION 2021-03-05

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State