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HENRIETTA PSYCHIATRIC NP CARE, PLLC

Company Details

Name: HENRIETTA PSYCHIATRIC NP CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Sep 2022 (3 years ago)
Entity Number: 6580879
ZIP code: 14586
County: Monroe
Place of Formation: New York
Address: 250b lucius gordon drive, suite 2, WEST HENRIETTA, NY, United States, 14586

Contact Details

Phone +1 585-471-3407

DOS Process Agent

Name Role Address
the llc DOS Process Agent 250b lucius gordon drive, suite 2, WEST HENRIETTA, NY, United States, 14586

National Provider Identifier

NPI Number:
1114648276
Certification Date:
2024-05-21

Authorized Person:

Name:
MRS. LAURA BAKER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes
Selected Taxonomy:
3245S0500X - Children's Substance Abuse Rehabilitation Facility
Is Primary:
No

Contacts:

Fax:
8665579530

Form 5500 Series

Employer Identification Number (EIN):
884038355
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
2023-01-03 2023-08-29 Address 250-b lucius gordon drive, suite 4b, WEST HENRIETTA, NY, 14586, USA (Type of address: Service of Process)
2022-09-02 2023-01-03 Address 250-b lucius gordon drive, suite 4b, WEST HENRIETTA, NY, 14586, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230829003485 2023-08-29 CERTIFICATE OF CHANGE BY ENTITY 2023-08-29
230103004705 2022-12-02 CERTIFICATE OF PUBLICATION 2022-12-02
220902002983 2022-09-01 ARTICLES OF ORGANIZATION 2022-09-01

Date of last update: 21 Mar 2025

Sources: New York Secretary of State