| Name: | Brightside Behavioral Health, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 02 Feb 2017 (8 years ago) |
| Identification Number: | 001670650 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 469 CENTERVILLE ROAD SUITE 405, WARWICK, RI, 02886, USA |
| Mailing Address: | 51 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
| Purpose: | PROVIDING BEHAVIORAL HEALTH SERVICES |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| Historical names: |
Brightside Behavorial Health, LLC |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255872206 | 2017-03-10 | 2017-03-10 | 469 CENTERVILLE RD, SUITE 101, WARWICK, RI, 028864354, US | 469 CENTERVILLE RD, SUITE 101, WARWICK, RI, 028864354, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-658-9482 |
Authorized person
| Name | MS. HALLIE FLEISCHMAN |
| Role | OWNER |
| Phone | 9546589482 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MHC00715 |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIGHTSIDE BEHAVIORAL HEALTH 401(K) PLAN | 2023 | 820672971 | 2024-02-26 | BRIGHTSIDE BEHAVIORAL HEALTH | 11 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-02-26 |
| Name of individual signing | HALLIE FLEISCHMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 4017733700 |
| Plan sponsor’s address | 469 CENTERVILLE RD., WARWICK, RI, 02886 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-26 |
| Name of individual signing | HALLIE FLEISCHMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JARED M. TOMASSI, ESQ. | Agent | 51 JEFFERSON BLVD. 2ND FLOOR, WARWICK, RI, 02888, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2017-02-03 | Brightside Behavorial Health, LLC | Brightside Behavioral Health, LLC |
| Number | Name | File Date |
|---|---|---|
| 202448685940 | Annual Report | 2024-03-15 |
| 202328317910 | Annual Report | 2023-02-14 |
| 202326226700 | Annual Report - Amended | 2023-01-19 |
| 202211195410 | Annual Report | 2022-02-18 |
| 202103733010 | Annual Report | 2021-10-24 |
| 202103732950 | Statement of Change of Registered/Resident Agent Office | 2021-10-24 |
| 202069752180 | Annual Report | 2020-10-29 |
| 201926669180 | Annual Report | 2019-11-01 |
| 201880195660 | Annual Report | 2018-10-26 |
| 201731362850 | Articles of Amendment | 2017-02-03 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
