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EB LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC

Company Details

Name: EB LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Jun 2024 (a year ago)
Entity Number: 7359851
ZIP code: 11739
County: Nassau
Place of Formation: New York
Address: 65-77 FROEHLICH FARM BOULEVARD, SUITE 812W, GREAT RIVER, NY, United States, 11739

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 65-77 FROEHLICH FARM BOULEVARD, SUITE 812W, GREAT RIVER, NY, United States, 11739

National Provider Identifier

NPI Number:
1407680648
Certification Date:
2024-08-29

Authorized Person:

Name:
SING KIT KEITH CHAN
Role:
MANAGER
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
240625002420 2024-06-10 ARTICLES OF ORGANIZATION 2024-06-10

Date of last update: 19 Mar 2025

Sources: New York Secretary of State