| Name: | Mariel Phillip, D.C., LLC Heart Chiropractic and Wellness |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Jun 2009 (16 years ago) |
| Identification Number: | 000507451 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 2 CHARLES STREET UNIT A41, PROVIDENCE, RI, 02904, USA |
| Purpose: | CHIROPRACTIC HEALTH SERVICES PRODUCTS AND MERCHANDISE |
| Historical names: |
Mariel Phillip, D.C., LLC |
NAICS
621310 Offices of ChiropractorsThis industry comprises establishments of health practitioners having the degree of D.C. (Doctor of Chiropractic) primarily engaged in the independent practice of chiropractic. These practitioners provide diagnostic and therapeutic treatment of neuromusculoskeletal and related disorders through the manipulation and adjustment of the spinal column and extremities, and 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245462175 | 2009-08-11 | 2009-08-11 | 1243 MINERAL SPRING AVE, SUITE 209, NORTH PROVIDENCE, RI, 029044636, US | 1243 MINERAL SPRING AVE, SUITE 209, NORTH PROVIDENCE, RI, 029044636, US | |||||||||||||||||||
|
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| Phone | +1 401-952-0369 |
| Fax | 4017227631 |
Authorized person
| Name | DR. MARIEL K PHILLIP |
| Role | CHIROPRACTIC PHYSICIAN |
| Phone | 4019520369 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | DCP00577 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARIEL PHILLIP | Agent | 61 RAPHAEL AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2020-09-20 | Mariel Phillip, D.C., LLC | Mariel Phillip, D.C., LLC Heart Chiropractic and Wellness |
| Number | Name | File Date |
|---|---|---|
| 202454537510 | Annual Report | 2024-05-19 |
| 202327797290 | Annual Report | 2023-02-07 |
| 202217475110 | Annual Report | 2022-05-18 |
| 202103795360 | Annual Report | 2021-10-25 |
| 202195042230 | Annual Report | 2021-03-29 |
| 202194523460 | Revocation Notice For Failure to File An Annual Report | 2021-03-16 |
| 202056374540 | Articles of Amendment | 2020-09-20 |
| 201920110930 | Annual Report | 2019-09-17 |
| 201920111540 | Annual Report | 2019-09-17 |
| 201920112150 | Annual Report | 2019-09-17 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
