| Name: | INTEGRATED PSYCHOLOGICAL SERVICES LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 May 2012 (13 years ago) |
| Identification Number: | 000789955 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 229 GANO STREET, PROVIDENCE, RI, 02906, USA |
| Purpose: | MENTAL HEALTH SERVICES |
NAICS
621330 Offices of Mental Health Practitioners (except Physicians)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750930103 | 2019-09-09 | 2019-09-09 | 333 SCHOOL ST STE 109, PAWTUCKET, RI, 028605335, US | 333 SCHOOL ST STE 109, PAWTUCKET, RI, 028605335, US | |||||||||||||||||||
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| Phone | +1 401-406-4586 |
| Fax | 4014064460 |
Authorized person
| Name | NOREEN SHAFFI |
| Role | OWNER |
| Phone | 4015278475 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NOREEEN SHAFFI | Agent | 229 GANO STREET, PROVIDENCE, RI, 02906, USA |
| Number | Name | File Date |
|---|---|---|
| 202444260970 | Annual Report | 2024-01-19 |
| 202326726200 | Annual Report | 2023-01-26 |
| 202213058830 | Annual Report | 2022-03-18 |
| 202208974750 | Certificate of Correction | 2022-01-31 |
| 202101262620 | Annual Report | 2021-09-11 |
| 202056860700 | Annual Report | 2020-11-12 |
| 201915789990 | Articles of Amendment | 2019-08-27 |
| 201913118080 | Annual Report | 2019-08-17 |
| 201994751930 | Annual Report | 2019-05-28 |
| 201992488180 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4688207404 | 2020-05-10 | 0165 | PPP | 333 SCHOOL ST STE 109, PAWTUCKET, RI, 02860-5335 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3398138400 | 2021-02-04 | 0165 | PPS | 333 School St Ste 109, Pawtucket, RI, 02860-5335 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
