| 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)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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
