| Name: | ALBERT SILVA MSW, LCDP, CADC, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Feb 2021 (4 years ago) |
| Identification Number: | 001719054 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 750 EAST AVENUE, PAWTUCKET, RI, 02860, USA |
| Purpose: | SUBSTANCE ABUSE AND MENTAL HEALTH COUNSELING, GROUP SESSIONS, INDIVIDUAL ASSESSMENTS AND TREATMENT PLANNING. |
| NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811615321 | 2022-08-19 | 2023-09-12 | 750 EAST AVE, PAWTUCKET, RI, 028606245, US | 750 EAST AVE, PAWTUCKET, RI, 028606245, US | |||||||||||||||||||||
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| Phone | +1 401-219-2232 |
| Fax | 4013493531 |
Authorized person
| Name | MR. ALBERT ANTHONY SILVA |
| Role | OWNER |
| Phone | 4012192232 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1790207058 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ALBERT SILVA | Agent | 750 EAST AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| ALBERT SILVA | Manager | 750 EAST AVE PAWTUCKET, RI 02860 USA |
| Number | Name | File Date |
|---|---|---|
| 202444006910 | Annual Report | 2024-01-15 |
| 202326749470 | Annual Report | 2023-01-27 |
| 202221438000 | Statement of Change of Registered/Resident Agent | 2022-07-19 |
| 202221417870 | Annual Report | 2022-07-18 |
| 202219011190 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202190531810 | Articles of Organization | 2021-02-09 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
