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DR. ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC

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Company Details

Name: DR. ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Mar 2022 (3 years ago)
Entity Number: 6441906
ZIP code: 11729
County: Suffolk
Place of Formation: New York
Address: 89 washington ave, DEER PARK, NY, United States, 11729

DOS Process Agent

Name Role Address
the llc DOS Process Agent 89 washington ave, DEER PARK, NY, United States, 11729

National Provider Identifier

NPI Number:
1861112336
Certification Date:
2022-09-02

Authorized Person:

Name:
DR. ULYSSES JACKSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2022-03-28 2023-02-15 Address 89 washington ave, DEER PARK, NY, 11729, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230215000037 2022-12-17 CERTIFICATE OF PUBLICATION 2022-12-17
220328002689 2022-03-28 ARTICLES OF ORGANIZATION 2022-03-28

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State