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ORANGE COUNTY NP IN PSYCHIATRY PLLC

Company Details

Name: ORANGE COUNTY NP IN PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Aug 2023 (2 years ago)
Entity Number: 7005270
ZIP code: 10924
County: Orange
Place of Formation: New York
Address: 45 st. john street, GOSHEN, NY, United States, 10924

Contact Details

Phone +1 347-898-0813

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 45 st. john street, GOSHEN, NY, United States, 10924

National Provider Identifier

NPI Number:
1043099799
Certification Date:
2023-09-22

Authorized Person:

Name:
JACQUELINE DONGMO MEKONTCHOU
Role:
PROVIDER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230816001543 2023-08-15 ARTICLES OF ORGANIZATION 2023-08-15

Date of last update: 20 Mar 2025

Sources: New York Secretary of State