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TIDEWATER MENTAL HEALTH COUNSELING PLLC

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Company Details

Name: TIDEWATER MENTAL HEALTH COUNSELING PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Mar 2025 (3 months ago)
Entity Number: 7564455
County: Suffolk
Place of Formation: New York

DOS Process Agent

Name Role
the pllc DOS Process Agent

National Provider Identifier

NPI Number:
1497556088
Certification Date:
2025-03-20

Authorized Person:

Name:
JACQUELYN JACKSON
Role:
OWNER
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
250320001667 2025-03-20 ARTICLES OF ORGANIZATION 2025-03-20

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State