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JELTOVA PSYCHOLOGICAL SERVICES PLLC

Company Details

Name: JELTOVA PSYCHOLOGICAL SERVICES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Sep 2024 (8 months ago)
Entity Number: 7428023
ZIP code: 11223
County: Kings
Place of Formation: New York
Address: 2483 coney island ave c.o odis, BROOKLYN, NY, United States, 11223

DOS Process Agent

Name Role Address
odis management DOS Process Agent 2483 coney island ave c.o odis, BROOKLYN, NY, United States, 11223

National Provider Identifier

NPI Number:
1396565727
Certification Date:
2024-10-11

Authorized Person:

Name:
DR. IDA JELTOVA
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QD1600X - Developmental Disabilities Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240925002227 2024-09-13 ARTICLES OF ORGANIZATION 2024-09-13

Date of last update: 19 Mar 2025

Sources: New York Secretary of State