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PVD CARES WELLNESS CENTER LLC

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Company Details

Name: PVD CARES WELLNESS CENTER LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 18 Nov 2019 (6 years ago)
Date of Dissolution: 16 Jun 2025 (a month ago)
Date of Status Change: 16 Jun 2025 (a month ago)
Identification Number: 001701991
ZIP code: 02860
City: Pawtucket
County: Providence County
Purpose: PRIMARY CARE AND MENTAL HEALTH CLINIC
Principal Address: Google Maps Logo 126 PROSPECT ST SUITE 105, PAWTUCKET, RI, 02860, USA

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
MILEN KING Agent 34 REDWOOD DRIVE, NORTH PROVIDENCE, RI, 02911, USA

National Provider Identifier

NPI Number:
1063059244
Certification Date:
2021-06-28

Authorized Person:

Name:
EFFIEN KING
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4012354152

Filings

Number Name File Date
202450798230 Miscellaneous Filing (Fee Applicable) 2024-04-10
202450798140 Annual Report 2024-04-10
202340810620 Annual Report 2023-09-08
202340809660 Annual Report 2023-09-08
202340810260 Annual Report 2023-09-08

Expenditures

Agency Date Program Subprogram Amount
Department of Human Services 2025-05-23 INDIVIDUAL AND FAMILY SUPPORT Operations 2024.66
Department of Human Services 2025-05-15 INDIVIDUAL AND FAMILY SUPPORT Operations 6587.54
Department of Human Services 2025-04-25 INDIVIDUAL AND FAMILY SUPPORT Operations 766.44
Department of Human Services 2025-04-22 INDIVIDUAL AND FAMILY SUPPORT Operations 1000.0
Department of Human Services 2025-04-18 INDIVIDUAL AND FAMILY SUPPORT Operations 2544.32

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Date of last update: 16 Jul 2025

Sources: Rhode Island Department of State