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PHOENIX HOLISTIC SERVICES LLC

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Company Details

Name: PHOENIX HOLISTIC SERVICES LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Aug 2021 (4 years ago)
Entity Number: 6235354
ZIP code: 11434
County: Queens
Place of Formation: New York
Address: 15569 115th Rd., Jamaica, NY, United States, 11434

DOS Process Agent

Name Role Address
THE LIMITED LIABILITY COMPANY DOS Process Agent 15569 115th Rd., Jamaica, NY, United States, 11434

Agent

Name Role Address
allen e stewart Agent 155 69 115th road, JAMAICA, NY, 11434

National Provider Identifier

NPI Number:
1215608146
Certification Date:
2021-09-21

Authorized Person:

Name:
MR. ALLEN E SMART
Role:
CLINICAL SOCIAL WORKER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220515000616 2021-08-27 CERTIFICATE OF CHANGE BY ENTITY 2021-08-27
210804000742 2021-08-04 ARTICLES OF ORGANIZATION 2021-08-04

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State