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Innovative Therapeutics of Rhode Island, LLC

Company Details

Name: Innovative Therapeutics of Rhode Island, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 16 Aug 2016 (9 years ago)
Date of Dissolution: 30 Jul 2018 (7 years ago)
Date of Status Change: 30 Jul 2018 (7 years ago)
Identification Number: 001665964
ZIP code: 02915
County: Providence County
Principal Address: Google Maps Logo 316 WILLETT AVENUE, RIVERSIDE, RI, 02915, USA

Agent

Name Role Address
JOHN J. BEVILACQUA, JR. Agent 145 PHENIX AVENUE, CRANSTON, RI, 02920, USA

National Provider Identifier

NPI Number:
1861944969

Authorized Person:

Name:
MS. WENDY CARLSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7819649446

Filings

Number Name File Date
201873541250 Revocation Certificate For Failure to File the Annual Report for the Year 2018-07-30
201865272830 Revocation Notice For Failure to File An Annual Report 2018-05-15
201738467620 Statement of Change of Registered/Resident Agent Office 2017-03-23
201603458740 Articles of Organization 2016-08-16

Date of last update: 01 Jun 2025

Sources: Rhode Island Department of State