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SOUTHTOWNS MENTAL HEALTH COUNSELING, P.C.

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Company Details

Name: SOUTHTOWNS MENTAL HEALTH COUNSELING, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 May 2021 (4 years ago)
Entity Number: 6016863
ZIP code: 14063
County: Erie
Place of Formation: New York
Address: 3742 EAST MAIN ROAD,, LOT 74, FREDONIA, NY, United States, 14063

Contact Details

Phone +1 716-410-5390

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3742 EAST MAIN ROAD,, LOT 74, FREDONIA, NY, United States, 14063

National Provider Identifier

NPI Number:
1306411244
Certification Date:
2021-08-09

Authorized Person:

Name:
MR. JASON SHEAR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
163WP0808X - Psychiatric/Mental Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No

Contacts:

Fax:
7164229011

History

Start date End date Type Value
2021-05-19 2025-02-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-05-19 2025-05-14 Address 3742 EAST MAIN ROAD,, LOT 74, FREDONIA, NY, 14063, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250514000423 2025-02-10 CERTIFICATE OF CHANGE BY ENTITY 2025-02-10
210519000637 2021-05-19 CERTIFICATE OF INCORPORATION 2021-05-19

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State