| 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 (8 years ago) |
| Date of Dissolution: | 30 Jul 2018 (6 years ago) |
| Date of Status Change: | 30 Jul 2018 (6 years ago) |
| Identification Number: | 001665964 |
| ZIP code: | 02915 |
| County: | Providence County |
| Principal Address: | 316 WILLETT AVENUE, RIVERSIDE, RI, 02915, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861944969 | 2016-10-25 | 2016-10-25 | 316 WILLETT AVE, RIVERSIDE, RI, 029152511, US | 316 WILLETT AVE, RIVERSIDE, RI, 029152511, US | |||||||||||||||||||
|
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| Phone | +1 401-270-2468 |
| Fax | 7819649446 |
Authorized person
| Name | MS. WENDY CARLSON |
| Role | OWNER |
| Phone | 7819649446 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | APRN01440 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHN J. BEVILACQUA, JR. | Agent | 145 PHENIX AVENUE, CRANSTON, RI, 02920, USA |
| 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: 26 Oct 2024
Sources: Rhode Island Department of State
