Name: | Caroline Gojcz, LICSW, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 09 Nov 2022 (2 years ago) |
Identification Number: | 001748423 |
ZIP code: | 02914 |
County: | Providence County |
Principal Address: | 396 JUNIPER STREET, EAST PROVIDENCE, RI, 02914, USA |
Mailing Address: | 18 MAPLE AVE #265, BARRINGTON, RI, 02806, US |
Purpose: | PRIVATE PRACTICE PROVIDING OUTPATIENT TELEHEALTH COUNSELING |
NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902678444 | 2023-10-27 | 2023-10-27 | 18 MAPLE AVE # 265, BARRINGTON, RI, 028063560, US | 396 JUNIPER ST, EAST PROVIDENCE, RI, 029144972, US | |||||||||||||
|
Phone | +1 401-250-0079 |
Authorized person
Name | CAROLINE GOJCZ |
Role | CLINICAL SOCIAL WORKER |
Phone | 4012500079 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CAROLINE GOJCZ | Agent | 396 JUNIPER ST, EAST PROVIDENCE, RI, 02914, USA |
Number | Name | File Date |
---|---|---|
202455417550 | Annual Report | 2024-06-06 |
202335812190 | Articles of Amendment | 2023-05-18 |
202335305160 | Annual Report | 2023-05-05 |
202224591180 | Articles of Organization | 2022-11-09 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State