15-63 208TH PLACE, BAYSIDE, 11360, NEW YORK
| Entity Name | ACTIVE CHANGE PSYCHOLOGICAL SERVICES, PLLC |
| Entity Number | 5763313 |
| Status | ACTIVE |
| Incorporation Date | 8th June 2020 |
| Dos Process Address | 6800 JERICHO TPKE., STE 120W, SYOSSET, 11791, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |