| Name: | Alexis T. Schonrog, LICSW, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Jul 2010 (15 years ago) |
| Date of Dissolution: | 01 Aug 2012 (12 years ago) |
| Date of Status Change: | 01 Aug 2012 (12 years ago) |
| Identification Number: | 000542783 |
| ZIP code: | 02891 |
| County: | Washington County |
| Principal Address: | 97 CROSS ST., WESTERLY, RI, 02891, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770898132 | 2010-08-10 | 2010-08-10 | 97 CROSS ST, WESTERLY, RI, 028912448, US | 97 CROSS ST, WESTERLY, RI, 028912448, US | |||||||||||||||||||||||||
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| Phone | +1 401-596-8802 |
| Fax | 4015968800 |
Authorized person
| Name | ALEXIS TIANNA SCHONROG |
| Role | OWNER OPERATOR |
| Phone | 4017418206 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW01848 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | AD51685 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ALEXIS T. SCHONROG | Agent | 97 CROSS ST., WESTERLY, RI, 02891, USA |
| Number | Name | File Date |
|---|---|---|
| 201296296030 | Registered Office Not Maintained | 2012-08-20 |
| 201295704680 | Revocation Certificate For Failure to File the Annual Report for the Year | 2012-08-01 |
| 201292431930 | Revocation Notice For Failure to File An Annual Report | 2012-05-07 |
| 201064371910 | Articles of Organization | 2010-07-02 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
