| Name: | Psychologists at Jefferson Gateway, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 18 Aug 2006 (18 years ago) |
| Date of Dissolution: | 08 Jun 2016 (9 years ago) |
| Date of Status Change: | 08 Jun 2016 (9 years ago) |
| Identification Number: | 000158070 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 1130 TEN ROD ROAD SUITE E101, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | COUNSELING SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952622953 | 2010-06-14 | 2010-07-22 | 931 JEFFERSON BLVD, SUITE 2009, WARWICK, RI, 028862234, US | 931 JEFFERSON BLVD, SUITE 2009, WARWICK, RI, 028862234, US | |||||||||||||||||||
|
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| Phone | +1 401-921-5400 |
| Fax | 4019215402 |
Authorized person
| Name | CECILIA MARIA DUARTE |
| Role | PSYCHOLOGIST |
| Phone | 4019215400 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PS01162 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORSON AND BRUSINI LTD. | Agent | 144 WAYLAND AVENUE, PROVIDENCE, RI, 02906, USA |
| Number | Name | File Date |
|---|---|---|
| 201600052400 | Revocation Certificate For Failure to File the Annual Report for the Year | 2016-06-08 |
| 201694561910 | Revocation Notice For Failure to File An Annual Report | 2016-03-14 |
| 201554784880 | Annual Report | 2015-02-09 |
| 201328132200 | Annual Report | 2013-09-12 |
| 201328108700 | Statement of Change of Registered/Resident Agent | 2013-09-12 |
| 201299054420 | Annual Report | 2012-10-04 |
| 201183206360 | Annual Report | 2011-09-19 |
| 201178247190 | Statement of Change of Registered/Resident Agent Office | 2011-08-29 |
| 201067385590 | Annual Report | 2010-09-17 |
| 200951513310 | Annual Report | 2009-09-21 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
