| 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 Specialists |
| 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
