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Center for Dynamic and Behavioral Therapy, LLC

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Company Details

Name: Center for Dynamic and Behavioral Therapy, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 17 May 2017 (8 years ago)
Identification Number: 001673876
ZIP code: 02906
County: Providence County
Purpose: TO PROVIDE PSYCHOLOGICAL SERVICES
Fictitious names: Pvd Psych (trading name, 2018-04-06 - )
Pvd Psychological Associates (trading name, 2018-04-06 - )
CDBT Psych (trading name, 2017-05-24 - )
Principal Address: Google Maps Logo 11 SOUTH ANGELL ST. #405, PROVIDENCE, RI, 02906, USA

Industry & Business Activity

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

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1790207876
Certification Date:
2021-07-25

Authorized Person:

Name:
DR. NICOLE ISSA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
4012260137

Filings

Number Name File Date
202449929070 Annual Report 2024-04-01
202330273950 Annual Report 2023-03-07
202214238600 Annual Report 2022-04-04
202107129440 Annual Report 2021-12-15
202106601190 Revocation Notice For Failure to File An Annual Report 2021-12-03

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
41666.00
Total Face Value Of Loan:
41666.00
Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
41666
Current Approval Amount:
41666
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
42215.08

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Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State