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RISE THERAPY, LCSW P.C.

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Company Details

Name: RISE THERAPY, LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Sep 2022 (3 years ago)
Entity Number: 6590423
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 109 california avenue, PORT JEFFERSON, NY, United States, 11777

Contact Details

Phone +1 631-253-8512

Shares Details

Shares issued 1000

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
elizabeth pace DOS Process Agent 109 california avenue, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1225749195
Certification Date:
2022-12-12

Authorized Person:

Name:
ELIZABETH PACE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220916000879 2022-09-07 CERTIFICATE OF INCORPORATION 2022-09-07

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State