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Westside Psychology LLC

Company Details

Name: Westside Psychology LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 09 Dec 2015 (9 years ago)
Date of Dissolution: 26 Jun 2017 (8 years ago)
Date of Status Change: 26 Jun 2017 (8 years ago)
Identification Number: 001658688
ZIP code: 02909
County: Providence County
Principal Address: 334 BROADWAY, PROVIDENCE, RI, 02909, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720453913 2015-12-14 2015-12-14 334 BROADWAY, PROVIDENCE, RI, 029091102, US 334 BROADWAY, PROVIDENCE, RI, 029091102, US

Contacts

Phone +1 401-437-4116

Authorized person

Name DR. LEAH MURPHY
Role PSYCHOLOGIST
Phone 4014374116

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number PS01538
State RI
Is Primary Yes
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number PS01538
State RI
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary No

Agent

Name Role Address
LEAH MURPHY Agent 334 BROADWAY, PROVIDENCE, RI, 02909, USA

Filings

Number Name File Date
201746205320 Articles of Dissolution 2017-06-26
201588963020 Articles of Organization 2015-12-09

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State