| 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 CentersThis industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Learn more at the U.S. Census Bureau
| 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
