| 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 (7 months ago) |
| Date of Status Change: | 17 Sep 2024 (7 months ago) |
| Identification Number: | 001740352 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 555 N. MAIN STREET #1171, PROVIDENCE, RI, 02904, USA |
| Purpose: | MENTAL & BEHAVIORAL HEALTH COUNSELING (VIA TELEHEALTH). |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740918028 | 2022-08-12 | 2023-05-25 | 555 N MAIN ST # 1171, PROVIDENCE, RI, 029045722, US | 212 CALLA ST, PROVIDENCE, RI, 02905, US | |||||||||||||
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| Phone | +1 401-376-3093 |
Authorized person
| Name | ALICIA V RODRIGUEZ |
| Role | OWNER |
| Phone | 4013763093 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALICIA V. RODRIGUEZ | Agent | 555 N. MAIN STREET #1171, PROVIDENCE, RI, 02904, USA |
| 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 |
| 202222084170 | Statement of Change of Registered/Resident Agent Office | 2022-08-11 |
| 202217212670 | Articles of Organization | 2022-05-11 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
