| Entity Name: | SHALVA CLINIC, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 24 Aug 2012 |
| Business ALEI: | 1081618 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 8 LINCOLN STREET, WESTPORT, CT, 06880, United States |
| Mailing address: | 176 GLENGARRY ROAD, FAIRFIELD, CT, United States, 06825 |
| ZIP code: | 06880 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | drlewis@shalvaclinic.org |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| ELLEN M. LEWIS | Agent | 8 LINCOLN STREET, WESTPORT, CT, 06880, United States | 8 LINCOLN STREET, WESTPORT, CT, 06880, United States | +1 857-222-0671 | drlewis@shalvaclinic.org | 176 GLENGARRY ROAD, FAIRFIELD, CT, 06825, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Beverly Lewis | Officer | No data | No data | No data | 10 Champlin Hill Ct, Niantic, CT, 06357-3141, United States |
| ELLEN M. LEWIS | Officer | 8 LINCOLN STREET, WESTPORT, CT, 06880, United States | +1 857-222-0671 | drlewis@shalvaclinic.org | 176 GLENGARRY ROAD, FAIRFIELD, CT, 06825, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012268387 | 2024-01-30 | No data | Annual Report | Annual Report | No data |
| BF-0011438964 | 2023-02-15 | No data | Annual Report | Annual Report | No data |
| BF-0010232848 | 2022-02-08 | No data | Annual Report | Annual Report | 2022 |
| 0007167110 | 2021-02-16 | No data | Annual Report | Annual Report | 2021 |
| 0006784155 | 2020-02-25 | No data | Annual Report | Annual Report | 2020 |
| 0006390442 | 2019-02-18 | No data | Annual Report | Annual Report | 2019 |
| 0006060633 | 2018-02-07 | No data | Annual Report | Annual Report | 2018 |
| 0005900351 | 2017-08-01 | No data | Annual Report | Annual Report | 2017 |
| 0005622026 | 2016-08-05 | No data | Annual Report | Annual Report | 2016 |
| 0005410702 | 2015-10-12 | No data | Annual Report | Annual Report | 2014 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
