| Name: | Shalyn Coleman, LICSW LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Nov 2021 (3 years ago) |
| Date of Dissolution: | 11 Oct 2022 (2 years ago) |
| Date of Status Change: | 11 Oct 2022 (2 years ago) |
| Identification Number: | 001731502 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 4372 POST RD., EAST GREENWICH, RI, 02818, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275284093 | 2022-01-13 | 2022-01-13 | 4372 POST RD, EAST GREENWICH, RI, 028184123, US | 4372 POST RD, EAST GREENWICH, RI, 028184123, US | |||||||||||||
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| Phone | +1 401-496-9287 |
Authorized person
| Name | SHALYN COLEMAN |
| Role | OWNER/PROVIDER |
| Phone | 4014969287 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent | 222 JEFFERSON BLVD. SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202223816950 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-11 |
| 202219557850 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202104474390 | Articles of Organization | 2021-11-02 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
