| 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 (12 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) |
| 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
