Name: | Quetzal Associates, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 10 Dec 2015 (9 years ago) |
Identification Number: | 001658747 |
ZIP code: | 02806 |
County: | Bristol County |
Principal Address: | 21 CARPENTER AVE, BARRINGTON, RI, 02806, USA |
Purpose: | PSYCHOLOGY PRIVATE PRACTICE Title: 7-1.2-1701 |
NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720444193 | 2016-01-14 | 2016-01-14 | 21 CARPENTER AVE, BARRINGTON, RI, 028062005, US | 1445 WAMPANOAG TRL, SUITE 106, RIVERSIDE, RI, 029151000, US | |||||||||||||||||||||||||||
|
Phone | +1 401-903-2413 |
Fax | 4012890297 |
Authorized person
Name | DR. KRISTIE PUSTER |
Role | CLINICAL PSYCHOLOGIST |
Phone | 4019032413 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
License Number | PS01332 |
State | RI |
Is Primary | Yes |
Taxonomy Code | 103T00000X - Psychologist |
License Number | PSO1360 |
State | RI |
Is Primary | No |
Name | Role | Address |
---|---|---|
KRISTIE PUSTER | Agent | 21 CARPENTER AVENUE, BARRINGTON, RI, 02806, USA |
Name | Role | Address |
---|---|---|
KRISTIE PUSTER | PRESIDENT | 21 CARPENTER AVENUE BARRINGTON, RI 02806 USA |
Number | Name | File Date |
---|---|---|
202445887310 | Annual Report | 2024-02-07 |
202331649790 | Annual Report | 2023-03-25 |
202209968640 | Annual Report | 2022-02-10 |
202185698980 | Annual Report | 2021-01-10 |
202041139390 | Annual Report | 2020-05-31 |
201985002700 | Annual Report | 2019-01-23 |
201876698500 | Annual Report | 2018-09-04 |
201875644490 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
201730004670 | Annual Report | 2017-01-12 |
201589032950 | Articles of Incorporation | 2015-12-10 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State