| Name: | ANDERSON-SQUIRES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 18 Jul 2013 (12 years ago) |
| Identification Number: | 000812241 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 140 WILD FLOWER TRAIL, WAKEFIELD, RI, 02879, USA |
| Purpose: | TO PROVIDE HEALTHCARE SERVICES PRODUCTS AND CONSULTATIONS ANY OTHER LAWFUL PURPOSE. |
| NAICS: | 621610 - Home Health Care Services |
| Fictitious names: |
CharacterLogic (trading name, 2022-04-08 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053740035 | 2013-11-11 | 2017-04-29 | PO BOX 367, WAKEFIELD, RI, 028800367, US | 875 CENTERVILLE RD, UNIT 2, WARWICK, RI, 028864381, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 401-474-3595 |
Authorized person
| Name | DR. DANIEL SQUIRES |
| Role | CLINICAL PSYCHOLOGIST; CO-OWNER |
| Phone | 4014744004 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PS00980 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | CSW01370 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | TYPE 1 NPI |
| Number | 1902961642 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DANIEL SQUIRES | Agent | 140 WILD FLOWER TRL, WAKEFIELD, RI, 02879, USA |
| Number | Name | File Date |
|---|---|---|
| 202445300800 | Annual Report | 2024-02-01 |
| 202335236860 | Annual Report | 2023-05-03 |
| 202214389870 | Fictitious Business Name Statement | 2022-04-08 |
| 202210188170 | Annual Report | 2022-02-13 |
| 202101038180 | Annual Report | 2021-09-07 |
| 202053560720 | Annual Report | 2020-09-10 |
| 201925730250 | Annual Report | 2019-10-28 |
| 201925729560 | Statement of Change of Registered/Resident Agent | 2019-10-28 |
| 201880415830 | Annual Report | 2018-10-29 |
| 201878231200 | Statement of Change of Registered/Resident Agent Office | 2018-09-26 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
