| Name: | Maria Eguia-Brusco, Ph.D., Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Dec 2010 (14 years ago) |
| Identification Number: | 000566150 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 1130 TEN ROD ROAD SUITE E-101, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | PSYCHOLOGY Title: 7-1.2-1701 |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912201682 | 2011-01-10 | 2014-07-02 | 11 ALHAMBRA CIRCLE, CRANSTON, RI, 02905, US | 1130 TEN ROD RD., SUITE E101, NORTH KINGSTOWN, RI, 02852, US | |||||||||||||||||||
|
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| Phone | +1 401-921-5400 |
| Fax | 4019215402 |
Authorized person
| Name | DR. MARIA EUGENIA EGUIA-BRUSCO |
| Role | PRESIDENT |
| Phone | 4019215400 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PS00699 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | Agent | 1130 TEN ROD ROAD SUITE E-101, NORTH KINGSTOWN, RI, 02852, USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | PRESIDENT | 1130 TEN ROD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | TREASURER | 1130 TEN ROAD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | SECRETARY | 1130 TEN ROAD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | VICE PRESIDENT | 1130 TEN ROAD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Number | Name | File Date |
|---|---|---|
| 202450258680 | Annual Report | 2024-04-05 |
| 202329263900 | Annual Report | 2023-02-24 |
| 202214321320 | Annual Report | 2022-04-08 |
| 202193212130 | Annual Report | 2021-02-27 |
| 202032983850 | Annual Report | 2020-01-24 |
| 201997431820 | Annual Report | 2019-06-18 |
| 201861218670 | Annual Report | 2018-03-30 |
| 201735224820 | Annual Report | 2017-02-28 |
| 201690298900 | Annual Report | 2016-01-08 |
| 201690260330 | Statement of Change of Registered/Resident Agent Office | 2016-01-08 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
