| 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. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| Fictitious names: |
Couples Revive (trading name, 2023-10-16 - ) |
| 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 | |||||||||||||||||||
|
|||||||||||||||||||||||
| 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 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
