| 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 CentersThis industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Learn more at the U.S. Census Bureau
| 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
