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KECIA L MCCULLOUGH, LCSW PSYCHOTHERAPY SERVICES, PLLC

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Company Details

Name: KECIA L MCCULLOUGH, LCSW PSYCHOTHERAPY SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Nov 2024 (8 months ago)
Entity Number: 7456389
ZIP code: 14605
County: Monroe
Place of Formation: New York
Address: 45 gilmore street, ROCHESTER, NY, United States, 14605

DOS Process Agent

Name Role Address
KECIA L MCCULLOUGH, LCSW PSYCHOTHERAPY SERVICES, PLLC DOS Process Agent 45 gilmore street, ROCHESTER, NY, United States, 14605

National Provider Identifier

NPI Number:
1497579874
Certification Date:
2024-11-12

Authorized Person:

Name:
MS. KECIA LEE MCCULLOUGH
Role:
CLINICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
241104003079 2024-11-01 ARTICLES OF ORGANIZATION 2024-11-01

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State