| Name: | ELAINE MARTIN, LICSW, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Jul 2014 (11 years ago) |
| Identification Number: | 000958359 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 205 WATERMAN STREET #103, PROVIDENCE, RI, 02906, USA |
| Mailing Address: | 39 TOWNSEND STREET, BARRINGTON, RI, 02806-1417, USA |
| Purpose: | PSYCHOTHERAPY PRIVATE PRACTICE |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255732111 | 2014-09-10 | 2014-09-10 | 39 TOWNSEND ST, BARRINGTON, RI, 028061417, US | 120 WAYLAND AVE, SUITE 1, PROVIDENCE, RI, 029064318, US | |||||||||||||||||||
|
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| Phone | +1 401-354-9372 |
| Fax | 4017093776 |
Authorized person
| Name | ELAINE LOUISE MARTIN |
| Role | SOLE MEMBER |
| Phone | 4013549372 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 000638ISW |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELAINE MARTIN | Agent | 39 TOWNSEND STREET, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 202445838970 | Annual Report | 2024-02-07 |
| 202327070500 | Annual Report | 2023-02-01 |
| 202209205240 | Annual Report | 2022-02-02 |
| 202100351280 | Annual Report | 2021-08-25 |
| 202056380730 | Annual Report | 2020-09-20 |
| 201916269220 | Annual Report | 2019-08-29 |
| 201877300240 | Annual Report | 2018-09-12 |
| 201749699360 | Annual Report | 2017-09-14 |
| 201608380000 | Annual Report | 2016-09-06 |
| 201578474880 | Annual Report | 2015-09-08 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
