| Name: | EMBODIED LIVING COUNSELING, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Nov 2020 (4 years ago) |
| Identification Number: | 001715445 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 1130 TEN ROD ROAD SUITE C104, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | SOCIAL WORK AND COUNSELING |
NAICS
624190 Other Individual and Family ServicesThis industry comprises establishments primarily engaged in providing nonresidential individual and family social assistance services (except those specifically directed toward children, the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities). Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942804885 | 2020-11-22 | 2020-11-23 | 39 NICHOLS RD, NORTH KINGSTOWN, RI, 028522031, US | 1130 TEN ROD RD STE E204, NORTH KINGSTOWN, RI, 028524168, US | |||||||||||||||||||||
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| Phone | +1 401-258-4437 |
| Fax | 4013863443 |
Authorized person
| Name | CHELSEA STOREY HILL |
| Role | OWNER |
| Phone | 4012584437 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1215486386 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CHELSEA S. HILL | Agent | 1130 TEN ROD ROAD SUITE C104, NORTH KINGSTOWN, RI, 02852, USA |
| Number | Name | File Date |
|---|---|---|
| 202453747910 | Annual Report | 2024-04-29 |
| 202453747730 | Statement of Change of Registered/Resident Agent Office | 2024-04-29 |
| 202334423090 | Annual Report | 2023-04-27 |
| 202216150900 | Annual Report | 2022-04-25 |
| 202103961170 | Annual Report | 2021-10-25 |
| 202076466870 | Articles of Organization | 2020-11-19 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
