| Name: | David Rajabiun & Associates Counseling LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Mar 2018 (7 years ago) |
| Identification Number: | 001682274 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 652 GEORGE WASHINGTON HIGHWAY SUITE 400, LINCOLN, RI, 02865, USA |
| Mailing Address: | 652 GEORGE WASHINGTON HWY SUITE 400, LINCOLN, RI, 02865, USA |
| Purpose: | PRIVATE PRACTICE MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING. |
| Fictitious names: |
Couples Revive (trading name, 2023-10-16 - ) |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376033696 | 2018-05-11 | 2018-05-11 | 652 GEORGE WASHINGTON HWY UNIT 400, LINCOLN, RI, 028654267, US | 652 GEORGE WASHINGTON HWY UNIT 400, LINCOLN, RI, 028654267, US | |||||||||||||||||||
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| Phone | +1 401-636-0729 |
| Fax | 4013341833 |
Authorized person
| Name | DAVID A RAJABIUN |
| Role | CLINICAL DIRECTOR |
| Phone | 4016360729 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW01544 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVID RAJABIUN | Agent | 652 GEORGE WASHINGTON HIGHWAY SUITE 400, LINCOLN, RI, 02865, USA |
| Number | Name | File Date |
|---|---|---|
| 202445433030 | Annual Report | 2024-02-02 |
| 202342247370 | Fictitious Business Name Statement | 2023-10-16 |
| 202328527490 | Annual Report | 2023-02-16 |
| 202214357770 | Annual Report | 2022-04-09 |
| 202102611760 | Annual Report | 2021-10-04 |
| 202065946600 | Annual Report | 2020-10-18 |
| 201921542820 | Annual Report | 2019-09-27 |
| 201859957970 | Articles of Organization | 2018-03-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5336807702 | 2020-05-01 | 0165 | PPP | 652 GEORGE WASHINGTON HWY UNIT 400, LINCOLN, RI, 02865-4267 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
