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BLOSSOM COUNSELING SERVICES LLC

Company Details

Name: BLOSSOM COUNSELING SERVICES LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Jun 2024 (a year ago)
Entity Number: 7343604
ZIP code: 12207
County: Albany
Place of Formation: Delaware
Foreign Legal Name: BLOSSOM COUNSELING SERVICES LLC
Address: 418 BROADWAY STE R, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
REGISTERED AGENTS INC. DOS Process Agent 418 BROADWAY STE R, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1538725205
Certification Date:
2024-05-30

Authorized Person:

Name:
AIYANA SMITH
Role:
OWENR
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
240604001527 2024-06-03 APPLICATION OF AUTHORITY 2024-06-03

Date of last update: 19 Mar 2025

Sources: New York Secretary of State