| 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 |
| NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
| 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 - ) |
| 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
