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 |
Historical names: |
Brightside Behavorial Health, LLC |
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 | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1691877207 | 2020-04-15 | 0165 | PPP | 469 Centerville Road, Warwick, RI, 02886 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State