| Name: | The Center for Change, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 Sep 2013 (11 years ago) |
| Identification Number: | 000841141 |
| ZIP code: | 02888 |
| County: | Kent County |
| Principal Address: | 1045 WARWICK AVENUE SUITE 101, WARWICK, RI, 02888, USA |
| Purpose: | OUTPATIENT BEHAVIORAL HEALTH THERAPY |
| NAICS: | 621610 - Home Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376892679 | 2012-08-31 | 2016-09-27 | 1045 WARWICK AVE, SUITE 101, WARWICK, RI, 028883665, US | 1045 WARWICK AVE, SUITE 101, WARWICK, RI, 028883665, US | |||||||||||||||||||||||||||
|
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| Phone | +1 401-465-2670 |
| Fax | 4012700660 |
Authorized person
| Name | DR. KRISTIN A DAVID |
| Role | LICENSED CLINICAL PSYCHOLOGIST |
| Phone | 4014652670 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KRISTIN A. DAVID, PH.D. | Agent | 70 GREENE STREET SUITE 101, EAST GREENWICH, RI, 02818, USA |
| Name | Role | Address |
|---|---|---|
| KRISTIN DAVID | Manager | 70 GREENE STREET EAST GREENWICH , RI 02818 USA |
| Number | Name | File Date |
|---|---|---|
| 202446225210 | Annual Report | 2024-02-12 |
| 202326822470 | Annual Report | 2023-01-29 |
| 202221445440 | Annual Report | 2022-07-19 |
| 202219541840 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202105480570 | Annual Report | 2021-11-29 |
| 202105480840 | Annual Report | 2021-11-29 |
| 202105480200 | Reinstatement | 2021-11-29 |
| 202197445570 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-06-03 |
| 202194404660 | Revocation Notice For Failure to File An Annual Report | 2021-03-16 |
| 202047551060 | Annual Report | 2020-08-03 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
