| Name: | Core Speech Therapy, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 06 Feb 2023 (2 years ago) |
| Identification Number: | 001752258 |
| ZIP code: | 02909 |
| County: | Providence County |
| Principal Address: | 104 HARRISON ST #3, PROVIDENCE, RI, 02909, USA |
| Purpose: | SPEECH THERAPY |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902504129 | 2023-02-16 | 2023-02-16 | 330 WICKHAM RD, NORTH KINGSTOWN, RI, 028523506, US | 104 HARRISON ST, PROVIDENCE, RI, 029091233, US | |||||||||||||||||||
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| Phone | +1 401-345-0615 |
Authorized person
| Name | LAUREN ADLEY |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 4013450615 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 1578261798 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| STEVE CUSHMAN | Agent | 221 BROADWAY, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202449007020 | Annual Report | 2024-03-20 |
| 202327541190 | Articles of Organization | 2023-02-06 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
