| Name: | Illuminate Life Counseling, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 02 Nov 2017 (7 years ago) |
| Identification Number: | 001678566 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 58 MAIN ST, CRANSTON, RI, 02818, USA |
| Mailing Address: | 126 PAWTUXET TER, WEST WARWICK, RI, 02893, USA |
| Purpose: | MARRIAGE AND FAMILY THERAPY |
| Fictitious names: |
Vibrant Being Collective (trading name, 2024-08-15 - ) Illuminate Life Wellness (trading name, 2024-05-29 - ) Illuminate Whole Mothers (trading name, 2024-02-08 - ) |
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 | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528575123 | 2018-01-04 | 2018-01-04 | 126 PAWTUXET TER, WEST WARWICK, RI, 028935212, US | 2220 PLAINFIELD PIKE, CRANSTON, RI, 029212031, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 843-696-6221 |
| Phone | +1 401-889-3788 |
| Fax | 4012236506 |
Authorized person
| Name | DR. KATHERINE KINSELLA |
| Role | MANAGER |
| Phone | 8436966221 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MHC00885 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MFT00179 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | 4649 |
| State | SC |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ILLUMINATE LIFE COUNSELING LLC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 823932692 | 2024-04-05 | ILLUMINATE LIFE COUNSELING LLC | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-05 |
| Name of individual signing | KATHERINE KINSELLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KATHERINE KINSELLA | Agent | 126 PAWTUXET TERRACE, WEST WARWICK, RI, 02893, USA |
| Name | Role | Address |
|---|---|---|
| KATHERINE J KINSELLA | Manager | 126 PAWTUXET TER WEST WARWICK, RI 02893 USA |
| Number | Name | File Date |
|---|---|---|
| 202458846140 | Fictitious Business Name Statement | 2024-08-15 |
| 202453334110 | Fictitious Business Name Statement | 2024-05-29 |
| 202445916560 | Fictitious Business Name Statement | 2024-02-08 |
| 202445876800 | Annual Report | 2024-02-07 |
| 202326201860 | Annual Report | 2023-01-19 |
| 202209556180 | Annual Report | 2022-02-07 |
| 202101491930 | Annual Report | 2021-09-14 |
| 202057049500 | Annual Report | 2020-09-22 |
| 201928096380 | Articles of Amendment | 2019-11-26 |
| 201924461100 | Annual Report | 2019-10-17 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
