| Name: | CENTER FOR INTEGRATED PSYCHOTHERAPY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Oct 2012 (13 years ago) |
| Identification Number: | 000793701 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 1130 TEN ROD ROAD D307 A, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | PSYCHOTHERAPY PRACTICE PROVIDING COUNSELING TO PATIENTS |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992058580 | 2012-10-19 | 2012-10-19 | 1130 TEN ROD RD, SUITE D-307A, NORTH KINGSTOWN, RI, 028524161, US | 1130 TEN ROD RD, SUITE D-307A, NORTH KINGSTOWN, RI, 028524161, US | |||||||||||||||||||
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| Phone | +1 401-294-9323 |
| Fax | 4012949320 |
Authorized person
| Name | LAURIE RACKLEY-JOSEPH |
| Role | MEMBER AND LICENSED PSYCHOTHERAPIST |
| Phone | 4012949323 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW02018 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAURIE RACKLEY-JOSEPH | Agent | 175 SIR MICHAEL CIRCLE, WEST KINGSTON, RI, 02892, USA |
| Number | Name | File Date |
|---|---|---|
| 202445598270 | Annual Report | 2024-02-05 |
| 202331303890 | Annual Report | 2023-03-22 |
| 202222699950 | Statement of Change of Registered/Resident Agent | 2022-09-07 |
| 202222672520 | Annual Report | 2022-09-06 |
| 202219503280 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202101105440 | Annual Report | 2021-09-07 |
| 202053412830 | Annual Report | 2020-09-08 |
| 201921333400 | Annual Report | 2019-09-23 |
| 201876388050 | Annual Report | 2018-08-30 |
| 201749533060 | Annual Report | 2017-09-11 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
