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Gwen Kolb, LICSW, LLC

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Company Details

Name: Gwen Kolb, LICSW, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 18 Feb 2022 (3 years ago)
Date of Dissolution: 16 Jun 2025 (a month ago)
Date of Status Change: 16 Jun 2025 (a month ago)
Identification Number: 001736372
ZIP code: 02906
City: Providence
County: Providence County
Purpose: PRIVATE PRACTICE - OUTPATIENT, INDIVIDUAL, PSYCHOTHERAPY (MENTAL/BEHAVIORAL HEALTH) FOR ADULTS LIVING IN RI AND MA.
Principal Address: Google Maps Logo 80 JENKINS ST. #2, PROVIDENCE, RI, 02906, USA

Industry & Business Activity

NAICS

621330 Offices of Mental Health Practitioners (except Physicians)

This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. 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

Agent

Name Role Address
GWEN KOLB Agent 275 WICKENDEN STREET #1, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1114642592
Certification Date:
2022-10-07

Authorized Person:

Name:
GWEN KOLB
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202445506590 Annual Report 2024-02-04
202331344460 Annual Report 2023-03-22
202211235620 Articles of Organization 2022-02-18
202575305490 Revocation Notice For Failure to File An Annual Report 2025-06-16
202576857060 Annual Report 2025-07-13

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Date of last update: 17 Jul 2025

Sources: Rhode Island Department of State