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VICTA, LLC

Company Details

Name: VICTA, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 01 Sep 2017 (8 years ago)
Identification Number: 001676874
ZIP code: 02907
County: Providence County
Purpose: MENTAL HEALTH CLINIC
Principal Address: Google Maps Logo 110 ELMWOOD AVENUE, PROVIDENCE, RI, 02907, USA

Contact Details

Phone +1 401-300-5757
+1 401-432-6029

Industry & Business Activity

NAICS

621330 Offices of Mental Health Practitioners (except Physicians)

This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners 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

Agent

Name Role Address
RYAN J. LUTRARIO Agent 564 S. WATER STREET, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1457822413

Authorized Person:

Name:
MR. ALEXANDER DONOYAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM2800X - Methadone Clinic
Is Primary:
Yes

Contacts:

Fax:
4013005656

Form 5500 Series

Employer Identification Number (EIN):
822674235
Plan Year:
2018
Number Of Participants:
0
Sponsors Telephone Number:

Licenses

License No License Type Status Date Issued Expiration Date
CO.9904343 Charitable Organization INACTIVE No data 2023-08-09
ACF01637-01 Organized Amb. Care Premises Active 2025-01-17 2025-12-31
ACF01637 Organized Amb. Care Facility Active 2018-12-17 2025-12-31

Filings

Number Name File Date
202455248910 Statement of Change of Registered/Resident Agent Office 2024-06-03
202448534220 Annual Report 2024-03-14
202338542490 Annual Report - Amended 2023-06-21
202331229280 Annual Report 2023-03-21
202216008760 Annual Report 2022-04-28

Expenditures

Agency Date Program Subprogram Amount
Office of Health and Human Services 2025-02-27 Central Management Operations 9000.0
Office of Health and Human Services 2024-11-22 Central Management Operations 36000.0
Department of Children, Youth and Families 2024-08-15 CHILD WELFARE FAMILY SERVICES 120.0
Office of Health and Human Services 2024-06-11 Central Management Operations 37000.0
Office of Health and Human Services 2024-05-24 Central Management Operations 12000.0

USAspending Awards / Financial Assistance

Date:
2020-05-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
73205.00
Total Face Value Of Loan:
73205.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Trademarks

Serial Number:
97281926
Mark:
EMPOWERING INDIVIDUALIZED RECOVERY
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2022-02-24
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
EMPOWERING INDIVIDUALIZED RECOVERY

Goods And Services

For:
Mental health services; Mental health therapy services; Substance abuse treatment services; Consulting services in the field of mental health and wellness; Counseling in the field of mental health and wellness; Drug testing for substance abuse; Providing mental health and wellness information; Provi...
First Use:
2018-04-04
International Classes:
044 - Primary Class
Class Status:
ACTIVE

Paycheck Protection Program

Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
73205
Current Approval Amount:
73205
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
74037.33

Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State