| Name: | Delta Consultants West, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 09 Jun 1993 (32 years ago) |
| Date of Dissolution: | 18 Oct 2019 (5 years ago) |
| Date of Status Change: | 18 Oct 2019 (5 years ago) |
| Identification Number: | 000072809 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1395 ATWOOD AVE SUITE 213, JOHNSTON, RI, 02919, USA |
| Purpose: | TO PROVIDE INTERDISCIPLINARY PROFESSIONAL, PSYCHOLOGICAL,MENTAL HEALTH, COUNSELING SERVICES. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245361005 | 2007-03-07 | 2020-08-22 | 1395 ATWOOD AVE, SUITE 213, JOHNSTON, RI, 029194929, US | 1395 ATWOOD AVE, SUITE 213, JOHNSTON, RI, 029194929, US | |||||||||||||||||||
|
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| Phone | +1 401-944-9888 |
| Fax | 4019445888 |
Authorized person
| Name | DR. VICKI L MOSS |
| Role | PRESIDENT |
| Phone | 4019449888 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | 208 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VICKI L. MOSS | Agent | 1395 ATWOOD AVE SUITE 213, JOHNSTON, RI, 02919, USA |
| Name | Role | Address |
|---|---|---|
| VICKI LYNN MOSS | PRESIDENT | 1395 ATWOOD AVENUE JOHNSTON, RI 02919 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT ALLEN RAPHAEL | VICE PRESIDENT | 134 CAMDEN COURT WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 201927400430 | Registered Office Not Maintained | 2019-11-12 |
| 201924557830 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
| 201906990640 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201755431510 | Annual Report | 2017-12-28 |
| 201740875790 | Statement of Change of Registered/Resident Agent | 2017-04-13 |
| 201740862060 | Annual Report | 2017-04-13 |
| 201589778740 | Annual Report | 2015-12-28 |
| 201554664100 | Annual Report | 2015-02-05 |
| 201435543230 | Annual Report | 2014-02-13 |
| 201322536950 | Statement of Change of Registered/Resident Agent | 2013-06-11 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
