Search icon

Phoenix Health Professional Group, LLC

Company Details

Name: Phoenix Health Professional Group, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 03 Jun 2020 (5 years ago)
Date of Dissolution: 14 Feb 2022 (3 years ago)
Date of Status Change: 14 Feb 2022 (3 years ago)
Identification Number: 001708375
ZIP code: 02906
County: Providence County
Principal Address: Google Maps Logo 99 WAYLAND AVENUE SUITE #100, PROVIDENCE, RI, 02906, USA

Agent

Name Role Address
JOEL K. GOLOSKIE Agent 1301 ATWOOD AVENUE SUITE 215N, JOHNSTON, RI, 02919, USA

National Provider Identifier

NPI Number:
1063037364
Certification Date:
2020-06-11

Authorized Person:

Name:
JOEL K GOLOSKIE
Role:
COUNSEL
Phone:

Taxonomy:

Selected Taxonomy:
163WA0400X - Addiction (Substance Use Disorder) Registered Nurse
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
103TA0400X - Addiction (Substance Use Disorder) Psychologist
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202210546330 Revocation Certificate For Failure to File the Annual Report for the Year 2022-02-14
202106444210 Revocation Notice For Failure to File An Annual Report 2021-12-03
202041343580 Articles of Organization 2020-06-03

Date of last update: 04 Jun 2025

Sources: Rhode Island Department of State