| Name: | Trident Psychological Services, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 May 2017 (8 years ago) |
| Identification Number: | 001673443 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 172 TAUNTON AVE. SUITE 208 SUITE 208, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | CLINICAL PSYCHOLOGIST, PROVIDING PSYCHOLOGICAL ASSESSMENT AND TREATMENT TO PATIENTS IN THE COMMUNITY. |
| NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306358239 | 2017-11-01 | 2017-11-01 | 172 TAUNTON AVE STE 208, EAST PROVIDENCE, RI, 029144541, US | 172 TAUNTON AVE STE 208, EAST PROVIDENCE, RI, 029144541, US | |||||||||||||||
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| Phone | +1 401-450-0729 |
| Fax | 4015371830 |
Authorized person
| Name | DR. DARREN WILLIAM HOLOWKA |
| Role | PSYCHOLOGIST/OWNER |
| Phone | 4014500729 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC. | Agent | 47 WOOD AVENUE SUITE 2, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 202451485300 | Annual Report | 2024-04-18 |
| 202328393310 | Annual Report | 2023-02-15 |
| 202210072190 | Annual Report | 2022-02-11 |
| 202102139750 | Annual Report | 2021-09-27 |
| 202069241260 | Annual Report | 2020-10-28 |
| 202039025940 | Statement of Change of Registered/Resident Agent Office | 2020-04-30 |
| 201919979090 | Annual Report | 2019-09-17 |
| 201878655240 | Annual Report | 2018-10-02 |
| 201750516690 | Annual Report | 2017-09-27 |
| 201742759160 | Articles of Organization | 2017-05-03 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
