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COUNTRYSIDE MENTAL HEALTH COUNSELING PLLC

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Company Details

Name: COUNTRYSIDE MENTAL HEALTH COUNSELING PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 May 2022 (3 years ago)
Entity Number: 6476210
ZIP code: 13323
County: Oneida
Place of Formation: New York
Address: 7254 state route 5, CLINTON, NY, United States, 13323

DOS Process Agent

Name Role Address
the llc DOS Process Agent 7254 state route 5, CLINTON, NY, United States, 13323

National Provider Identifier

NPI Number:
1497446413
Certification Date:
2023-05-19

Authorized Person:

Name:
KELSEY MOONEY
Role:
DIRECTOR/CEO
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
2022-05-04 2023-01-05 Address 7254 state route 5, CLINTON, NY, 13323, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230105000098 2022-10-12 CERTIFICATE OF PUBLICATION 2022-10-12
220504001197 2022-05-03 ARTICLES OF ORGANIZATION 2022-05-03

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State