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SUPPORTIVE SPACE MENTAL HEALTH COUNSELING PLLC

Company Details

Name: SUPPORTIVE SPACE MENTAL HEALTH COUNSELING PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Aug 2024 (9 months ago)
Entity Number: 7393983
ZIP code: 10004
County: Orange
Place of Formation: New York
Address: 11 broadway, ste 615, NEW YORK, NY, United States, 10004

DOS Process Agent

Name Role Address
c/o r. williams, p.c. DOS Process Agent 11 broadway, ste 615, NEW YORK, NY, United States, 10004

National Provider Identifier

NPI Number:
1184450397
Certification Date:
2024-09-12

Authorized Person:

Name:
COLETTE CASSIDY
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240809002505 2024-08-09 ARTICLES OF ORGANIZATION 2024-08-09

Date of last update: 19 Mar 2025

Sources: New York Secretary of State