| 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 (6 years ago) |
| Date of Status Change: | 18 Oct 2019 (6 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)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| 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: 08 Apr 2025
Sources: Rhode Island Department of State
