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MAISHA CAMPBELL, LCSW PLLC

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Company Details

Name: MAISHA CAMPBELL, LCSW PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 May 2022 (3 years ago)
Entity Number: 6474009
ZIP code: 10469
County: Bronx
Place of Formation: New York
Address: 1450 allerton ave., frnt a, BRONX, NY, United States, 10469

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 1450 allerton ave., frnt a, BRONX, NY, United States, 10469

National Provider Identifier

NPI Number:
1134704471
Certification Date:
2021-03-17

Authorized Person:

Name:
MRS. MAISHA CAMPBELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220502001820 2022-05-02 ARTICLES OF ORGANIZATION 2022-05-02

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State