| Name: | Jaclyn Houston Therapy LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 May 2023 (2 years ago) |
| Identification Number: | 001758097 |
| ZIP code: | 02888 |
| County: | Kent County |
| Principal Address: | 1069 WARWICK AVENUE, WARWICK, RI, 02888, USA |
| Mailing Address: | 276 W SHORE ROAD, WARWICK, RI, 02889, US |
| Purpose: | MENTAL HEALTH SERVICES/THERAPY |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568155620 | 2023-06-02 | 2023-10-18 | 1069 WARWICK AVE, WARWICK, RI, 028883544, US | 1069 WARWICK AVE, WARWICK, RI, 028883544, US | |||||||||||||
|
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| Phone | +1 401-208-2055 |
Authorized person
| Name | JACLYN LEE HOUSTON |
| Role | OWNER |
| Phone | 2039470241 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACLYN HOUSTON | Agent | 1069 WARWICK AVENUE, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202448140250 | Annual Report | 2024-03-09 |
| 202341984230 | Statement of Change of Registered/Resident Agent | 2023-09-29 |
| 202341984320 | Articles of Amendment | 2023-09-29 |
| 202336211280 | Articles of Organization | 2023-05-26 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
