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DR. DONNA RILEY OFFICE OF LICENSED CLINICAL SOCIAL WORK, PLLC

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Company Details

Name: DR. DONNA RILEY OFFICE OF LICENSED CLINICAL SOCIAL WORK, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Jan 2022 (3 years ago)
Entity Number: 6376337
ZIP code: 11755
County: Suffolk
Place of Formation: New York
Address: 2233 nesconset highway, suite 100, LAKE GROVE, NY, United States, 11755

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 2233 nesconset highway, suite 100, LAKE GROVE, NY, United States, 11755

National Provider Identifier

NPI Number:
1811649833
Certification Date:
2022-01-26

Authorized Person:

Name:
DR. DONNA BARBARA RILEY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
6316027857

Filings

Filing Number Date Filed Type Effective Date
220115000787 2022-01-14 ARTICLES OF ORGANIZATION 2022-01-14

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State