| Name: | Gerard G. Gagne, Jr., MD, General Adult Psychiatry, LLC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 18 May 2006 (19 years ago) |
| Date of Dissolution: | 05 Apr 2010 (15 years ago) |
| Date of Status Change: | 05 Apr 2010 (15 years ago) |
| Identification Number: | 000156104 |
| ZIP code: | 02915 |
| County: | Providence County |
| Principal Address: | 250 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915, USA |
| Mailing Address: | 840 WRIGHTS CROSSING ROAD, POMFRET CENTER, CT, 06259, USA |
| Purpose: | PHYSICIAN TREATMENT OF PATIENTS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740295328 | 2006-07-30 | 2008-09-25 | 250 WAMPANOAG TRL, SUITE 303, RIVERSIDE, RI, 029152218, US | 250 WAMPANOAG TRL, SUITE 303, RIVERSIDE, RI, 029152218, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 401-431-1500 |
| Fax | 4014381605 |
Authorized person
| Name | DR. GERARD GEORGE GAGNE |
| Role | PHYSICIAN, PRESIDENT |
| Phone | 4014311500 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GERARD G. GAGNE, JR. MD | Agent | 250 WAMPANOAG TRAIL SUITE 303, EAST PROVIDENCE, RI, 02915, USA |
| Number | Name | File Date |
|---|---|---|
| 201061088280 | Articles of Dissolution | 2010-04-05 |
| 200951728480 | Annual Report | 2009-09-25 |
| 200835476500 | Annual Report | 2008-09-25 |
| 200701433840 | Annual Report | 2007-09-24 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
