| Name: | Olive Branch Nutrition Therapy LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 29 Sep 2021 (4 years ago) |
| Date of Dissolution: | 11 Sep 2023 (2 years ago) |
| Date of Status Change: | 11 Sep 2023 (2 years ago) |
| Identification Number: | 001730027 |
| ZIP code: | 02909 |
| County: | Providence County |
| Principal Address: | 20 MESSER STREET UNIT 4, PROVIDENCE, RI, 02909, US |
| Mailing Address: | 20 MESSER STREET UNIT 4 UNIT 4, PROVIDENCE, RI, 02909, US |
| Purpose: | OUTPATIENT NUTRITION COUNSELING BY A REGISTERED DIETITIAN. |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205598414 | 2021-10-06 | 2021-10-06 | 20 MESSER ST # 4, PROVIDENCE, RI, 029092006, US | 20 MESSER ST # 4, PROVIDENCE, RI, 029092006, US | |||||||||||||
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| Phone | +1 508-688-0456 |
Authorized person
| Name | LAILA SHANAA |
| Role | OWNER |
| Phone | 5086880456 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC. | Agent | 47 WOOD AVE. STE 2, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 202341100900 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-11 |
| 202337010260 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202216614970 | Annual Report | 2022-05-02 |
| 202102204610 | Articles of Organization | 2021-09-29 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
