| Name: | WELLNESS PSYCHIATRIC SERVICES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Jun 2011 (14 years ago) |
| Identification Number: | 000686097 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 110 MAIN ST SUITE 306, EAST GREENWICH, RI, 02818, USA |
| Mailing Address: | 240 RIVER FARM DRIVE, EAST GREENWICH, RI, 02818, USA |
| Purpose: | PSYCHIATRIC SERVICES |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609159219 | 2011-09-21 | 2011-09-21 | 652 GEORGE WASHINGTON HWY, SUITE 400, LINCOLN, RI, 028654330, US | 652 GEORGE WASHINGTON HWY, SUITE 400, LINCOLN, RI, 028654330, US | |||||||||||||||||||||||||||
|
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| Phone | +1 401-334-1830 |
| Fax | 4013341833 |
Authorized person
| Name | SARAH XAVIER |
| Role | PSYCHIATRIST |
| Phone | 4013341830 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | DO00622 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | DO00622 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SARAH XAVIER D.O. | Agent | 110 MAIN STREET SUITE 306, EAST GREENWICH, RI, 02818, USA |
| Number | Name | File Date |
|---|---|---|
| 202445059780 | Annual Report | 2024-01-30 |
| 202339841420 | Statement of Change of Registered/Resident Agent Office | 2023-07-27 |
| 202339841150 | Reinstatement | 2023-07-27 |
| 202335879670 | Revocation Certificate For Failure to Maintain a Registered Office | 2023-05-22 |
| 202332398200 | Miscellaneous Filing (No Fee) | 2023-03-28 |
| 202330634300 | Revocation Notice For Failure to Maintain a Registered Office | 2023-03-13 |
| 202328916320 | Registered Office Not Maintained | 2023-02-17 |
| 202327385460 | Annual Report | 2023-02-03 |
| 202213080390 | Annual Report | 2022-03-18 |
| 202213081090 | Annual Report | 2022-03-18 |
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
