| Name: | Joseph VL. LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 21 Oct 2020 (4 years ago) |
| Date of Dissolution: | 14 Feb 2022 (3 years ago) |
| Date of Status Change: | 14 Feb 2022 (3 years ago) |
| Identification Number: | 001714258 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 1 RICHMOND SQUARE SUITE 321 W., PROVIDENCE, RI, 02906, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205435914 | 2020-10-22 | 2024-02-02 | 126 PROSPECT ST STE 206, PAWTUCKET, RI, 028604429, US | 126 PROSPECT ST STE 206, PAWTUCKET, RI, 028604429, US | |||||||||||||||||||
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| Phone | +1 774-955-0855 |
Authorized person
| Name | VALERIE JOSEPH |
| Role | CLINICAL SOCIAL WORKER |
| Phone | 7749550855 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1497269930 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| VALERIE JOSEPH | Agent | 405 SANDY LANE, WARWICK, RI, 02889, USA |
| Number | Name | File Date |
|---|---|---|
| 202210659210 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-02-14 |
| 202106649020 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202067030190 | Articles of Organization | 2020-10-21 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
