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BLOOM FLOURISH MENTAL HEALTH COUNSELING, PLLC

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Company Details

Name: BLOOM FLOURISH MENTAL HEALTH COUNSELING, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Jul 2021 (4 years ago)
Entity Number: 6221985
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 755 NEW YORK AVENUE, SUITE 230, HUNTINGTON, NY, United States, 11743

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 755 NEW YORK AVENUE, SUITE 230, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1215500921
Certification Date:
2021-08-04

Authorized Person:

Name:
TATIANA ASHLEY MCLEAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6314984952

Filings

Filing Number Date Filed Type Effective Date
210717000207 2021-07-16 ARTICLES OF ORGANIZATION 2021-07-16

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State