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Clear Space MH, LLC

Company Details

Name: Clear Space MH, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 11 May 2022 (3 years ago)
Date of Dissolution: 17 Sep 2024 (9 months ago)
Date of Status Change: 17 Sep 2024 (9 months ago)
Identification Number: 001740352
ZIP code: 02904
County: Providence County
Purpose: MENTAL & BEHAVIORAL HEALTH COUNSELING (VIA TELEHEALTH).
Principal Address: Google Maps Logo 555 N. MAIN STREET #1171, PROVIDENCE, RI, 02904, 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
ALICIA V. RODRIGUEZ Agent 555 N. MAIN STREET #1171, PROVIDENCE, RI, 02904, USA

National Provider Identifier

NPI Number:
1740918028
Certification Date:
2024-12-18

Authorized Person:

Name:
ALICIA V RODRIGUEZ
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Number Name File Date
202459849870 Revocation Certificate For Failure to File the Annual Report for the Year 2024-09-17
202456071940 Revocation Notice For Failure to File An Annual Report 2024-06-18
202336229410 Annual Report 2023-05-26
202222118460 Articles of Amendment 2022-08-12
202222084710 Annual Report - Amended 2022-08-11

Date of last update: 15 May 2025

Sources: Rhode Island Department of State