| Name: | Lifeworks, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 14 Apr 2005 (20 years ago) |
| Date of Dissolution: | 14 Sep 2012 (12 years ago) |
| Date of Status Change: | 14 Sep 2012 (12 years ago) |
| Identification Number: | 000147278 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 10 ELMGROVE AVENUE, PROVIDENCE, RI, 02906, USA |
| Purpose: | PSYCHOLOGICAL SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366829798 | 2015-05-06 | 2015-05-06 | 35 S ANGELL ST, PROVIDENCE, RI, 029065206, US | 35 S ANGELL ST, PROVIDENCE, RI, 029065206, US | |||||||||||||||||||
|
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| Phone | +1 401-632-4045 |
| Fax | 4016324460 |
Authorized person
| Name | MR. DAVID A SWAIN |
| Role | CO-OWNER |
| Phone | 4016324045 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | ISW 00390 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES P. REDDING, ESQ. | Agent | 27 SAKONNET POINT ROAD, LITTLE COMPTON, RI, 02837, USA |
| Name | Role | Address |
|---|---|---|
| LARRY SUSHANSKY | TREASURER | 10 ELMGROVE AVENUE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| DAVID SWAIN | SECRETARY | 10 ELMGROVE AVENUE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| DAVID SWAIN | PRESIDENT | 10 ELMGROVE AVENUE PROVIDENCE, RI 02906- USA |
| Name | Role | Address |
|---|---|---|
| LARRY SUSHANSKY | VICE PRESIDENT | 10 ELMGROVE AVENUE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| LARRY SUSHANSKY | DIRECTOR | 10 ELMGROVE AVENUE PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 201297894910 | Revocation Certificate For Failure to File the Annual Report for the Year | 2012-09-14 |
| 201293149230 | Revocation Notice For Failure to File An Annual Report | 2012-05-23 |
| 201291262850 | Statement of Change of Registered/Resident Agent Office | 2012-03-20 |
| 201176679830 | Annual Report | 2011-03-18 |
| 201058932750 | Annual Report | 2010-02-24 |
| 200942329300 | Annual Report | 2009-02-17 |
| 200812606050 | Annual Report | 2008-07-23 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
