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ANDERSON PSYCHOTHERAPY LCSW PLLC

Company Details

Name: ANDERSON PSYCHOTHERAPY LCSW PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Aug 2023 (2 years ago)
Entity Number: 6994982
ZIP code: 10965
County: Rockland
Place of Formation: New York
Address: 1 BLUE HILL PLAZA #1509-43, PEARL RIVER, NY, United States, 10965

DOS Process Agent

Name Role Address
METRO BUSINESS SERVICES DOS Process Agent 1 BLUE HILL PLAZA #1509-43, PEARL RIVER, NY, United States, 10965

National Provider Identifier

NPI Number:
1598448631
Certification Date:
2023-08-04

Authorized Person:

Name:
KRISTIN WALKER ANDERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230803004070 2023-08-02 ARTICLES OF ORGANIZATION 2023-08-02

Date of last update: 20 Mar 2025

Sources: New York Secretary of State