| 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) |
| 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 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
