| 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 (4 months ago) |
| Date of Status Change: | 17 Sep 2024 (4 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) |
| 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
