| Name: | Sandra E. Duclos, Ph.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 28 Jun 2005 (20 years ago) |
| Date of Dissolution: | 22 Aug 2018 (7 years ago) |
| Date of Status Change: | 22 Aug 2018 (7 years ago) |
| Identification Number: | 000149331 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 187 GLENWOOD AVENUE, PAWTUCKET, RI, 02860, USA |
| Purpose: | TO CONDUCT THE PRACTICE OF PSYCHOLOGY |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497788541 | 2006-07-09 | 2007-10-15 | 6 BLACKSTONE VALLEY PL, SUITE 109, LINCOLN, RI, 028651179, US | 6 BLACKSTONE VALLEY PL, SUITE 109, LINCOLN, RI, 028651179, US | |||||||||||||||||||
|
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| Phone | +1 401-334-9104 |
| Fax | 4013349105 |
Authorized person
| Name | DR. SANDRA E. DUCLOS |
| Role | PRESIDENT |
| Phone | 4013349104 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PS00498 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANDRA E. DUCLOS | Agent | 6 BLACKSTONE VALLEY PLACE SUITE 401, LINCOLN, RI, 02865, USA |
| Name | Role | Address |
|---|---|---|
| SANDRA E. DUCLOS | PRESIDENT AND TREASURER | 187 GLENWOOD AVENUE PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| FERMAN J. DUCLOS JR. | VICE PRESIDENT AND SECRETARY | 187 GLENWOOD AVENUE PAWTUCKET, RI 02860 USA |
| Number | Name | File Date |
|---|---|---|
| 201875230080 | Articles of Dissolution | 2018-08-22 |
| 201858706920 | Annual Report | 2018-02-21 |
| 201734950450 | Annual Report | 2017-02-28 |
| 201692003070 | Statement of Change of Registered/Resident Agent Office | 2016-02-05 |
| 201691518070 | Annual Report | 2016-01-30 |
| 201554047750 | Annual Report | 2015-01-22 |
| 201435625170 | Annual Report | 2014-02-15 |
| 201312311280 | Annual Report | 2013-02-21 |
| 201288805620 | Annual Report | 2012-01-30 |
| 201175346850 | Annual Report | 2011-02-21 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
