| Name: | NICHOLE PACIELLO LMHC LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 May 2024 (8 months ago) |
| Identification Number: | 001774051 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 2 RICHMOND SQUARE SUITE 105, PROVIDENCE, RI, 02906, USA |
| Fictitious names: |
MAE BEHAVIORAL HEALTH (trading name, 2024-09-06 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285460683 | 2024-09-11 | 2024-09-11 | 2 RICHMOND SQ STE 105, PROVIDENCE, RI, 029065135, US | 2 RICHMOND SQ STE 105, PROVIDENCE, RI, 029065135, US | |||||||||||||||||||
|
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| Phone | +1 315-525-1409 |
| Fax | 4012166187 |
Authorized person
| Name | MS. NICHOLE PACIELLO |
| Role | OWNER /FOUNDER |
| Phone | 3155251409 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DANIEL P TUCKER | Agent | 1395 ATWOOD AVE SUITE 210, JOHNSTON, RI, 02919, USA |
| Number | Name | File Date |
|---|---|---|
| 202459234630 | Fictitious Business Name Statement | 2024-09-06 |
| 202454569980 | Articles of Organization | 2024-05-20 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
