| 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 Services |
| 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
