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YVONNE L. DAVIS, NURSE PRACTITIONER IN PSYCHIATRY PLLC

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Company Details

Name: YVONNE L. DAVIS, NURSE PRACTITIONER IN PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Dec 2021 (3 years ago)
Entity Number: 6354744
ZIP code: 13632
County: Jefferson
Place of Formation: New York
Address: 15462 COUNTY ROUTE 11, DEPAUVILLE, NY, United States, 13632

DOS Process Agent

Name Role Address
YVONNE DAVIS DOS Process Agent 15462 COUNTY ROUTE 11, DEPAUVILLE, NY, United States, 13632

National Provider Identifier

NPI Number:
1992466395
Certification Date:
2022-01-05

Authorized Person:

Name:
YVONNE L DAVIS
Role:
NPP
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-12-22 2022-11-18 Address 15462 COUNTY ROUTE 11, DEPAUVILLE, NY, 13632, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221118001516 2022-11-17 CERTIFICATE OF PUBLICATION 2022-11-17
211222000422 2021-12-21 ARTICLES OF ORGANIZATION 2021-12-21

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State