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KIMBERLY ORTH LCSW, P.C.

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Company Details

Name: KIMBERLY ORTH LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jun 2022 (3 years ago)
Entity Number: 6527959
ZIP code: 11780
County: Suffolk
Place of Formation: New York
Address: po box 174, SAINT JAMES, NY, United States, 11780

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp. DOS Process Agent po box 174, SAINT JAMES, NY, United States, 11780

National Provider Identifier

NPI Number:
1750019733
Certification Date:
2022-08-09

Authorized Person:

Name:
KIMBERLY ORTH
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220701000657 2022-06-30 CERTIFICATE OF INCORPORATION 2022-06-30

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State