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ROCKVILLE LCSW P.C.

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Company Details

Name: ROCKVILLE LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Oct 2022 (3 years ago)
Entity Number: 6615731
ZIP code: 11570
County: Nassau
Place of Formation: New York
Address: 80 lincoln ave, ROCKVILLE CENTRE, NY, United States, 11570

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
rachel a bosgang-wachs DOS Process Agent 80 lincoln ave, ROCKVILLE CENTRE, NY, United States, 11570

National Provider Identifier

NPI Number:
1083328660
Certification Date:
2023-01-09

Authorized Person:

Name:
RACHEL ANNE WACHS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
221014002028 2022-10-13 CERTIFICATE OF INCORPORATION 2022-10-13

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State