| Name: | ANGELA RUDNER PSYCHOTHERAPY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Feb 2014 (11 years ago) |
| Identification Number: | 000905617 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 1 RICHMOND SQUARE SUITE 128C, PROVIDENCE, RI, 02906, USA |
| Mailing Address: | 140 PITMAN STREET 303 303, PROVIDENCE, RI, 02906, USA |
| Purpose: | PSYCHOTHERAPY PRACTICE |
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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114378098 | 2016-06-22 | 2016-06-22 | 2 REGENCY PLZ APT 1212, PROVIDENCE, RI, 029033156, US | 1 RICHMOND SQ, STE152 E, PROVIDENCE, RI, 029065139, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 410-370-0076 |
| Phone | +1 401-573-9905 |
Authorized person
| Name | MRS. ANGELA SUSAN RUDNER |
| Role | PRESIDENT |
| Phone | 4015739905 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW02235 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 116924 |
| State | MA |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 15954 |
| State | MD |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ANGELA RUDNER | Agent | 140 PITMAN STREET 303, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| ANGELA RUDNER | Manager | 140 PITMAN STREET, 303 PROVIDENCE, RI 02906 USA |
| LEWIS RUDNER | Manager | 140 PITMAN STREET, 303 PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 202446049050 | Annual Report | 2024-02-09 |
| 202327099880 | Annual Report | 2023-02-01 |
| 202209122600 | Annual Report | 2022-02-01 |
| 202100972890 | Statement of Change of Registered/Resident Agent Office | 2021-09-07 |
| 202100923090 | Annual Report | 2021-09-03 |
| 202057078870 | Annual Report | 2020-09-22 |
| 201916780950 | Annual Report | 2019-09-01 |
| 201876990370 | Annual Report | 2018-09-04 |
| 201749050620 | Annual Report | 2017-09-01 |
| 201608618590 | Annual Report | 2016-09-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2381358602 | 2021-03-15 | 0165 | PPP | 2 Regency Plz Apt 1212, Providence, RI, 02903-3156 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
