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INTAKE MENTAL HEALTH COUNSELING PLLC

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Company Details

Name: INTAKE MENTAL HEALTH COUNSELING PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Jan 2023 (2 years ago)
Entity Number: 6700503
ZIP code: 11542
County: Nassau
Place of Formation: New York
Address: 56 hendrick ave, GLEN COVE, NY, United States, 11542

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 56 hendrick ave, GLEN COVE, NY, United States, 11542

National Provider Identifier

NPI Number:
1275217614
Certification Date:
2023-06-14

Authorized Person:

Name:
SANDY BAKER
Role:
COUNSELOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-01-17 2025-01-14 Address 56 hendrick ave, GLEN COVE, NY, 11542, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250114000738 2025-01-14 BIENNIAL STATEMENT 2025-01-14
230117002745 2023-01-17 ARTICLES OF ORGANIZATION 2023-01-17

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State