| Name: | ChangeSpace Center for Counseling and Development, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 Jun 2018 (7 years ago) |
| Identification Number: | 001685772 |
| ZIP code: | 02806 |
| County: | Bristol County |
| Principal Address: | 147 COUNTY RD SUITE 300A-B, BARRINGTON, RI, 02806, USA |
| Mailing Address: | 4 MIDDLE ST, BARRINGTON, RI, 02806, USA |
| Purpose: | WE PROVIDE OUTPATIENT PSYCHOTHERAPY TO TREAT INDIVIDUALS WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES IN AN OFFICE BASED SETTING. WE ALSO PROVIDE EDUCATIONAL AND PSYCHOLOGICAL TESTING SERVICES. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144709932 | 2018-08-13 | 2018-08-13 | 4 MIDDLE ST, BARRINGTON, RI, 028061924, US | 147 COUNTY RD STE 300A-B, BARRINGTON, RI, 028064536, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 401-263-4361 |
Authorized person
| Name | ALEXANDER LAORENZA |
| Role | CO-OWNER/THERAPIST |
| Phone | 4012634361 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW02166 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELISE ARRUDA LAORENZA | Agent | 4 MIDDLE STREET, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 202444482930 | Annual Report | 2024-01-23 |
| 202329229050 | Annual Report | 2023-02-24 |
| 202211050610 | Annual Report | 2022-02-17 |
| 202101615750 | Annual Report | 2021-09-16 |
| 202068258250 | Annual Report | 2020-10-25 |
| 201916971510 | Annual Report | 2019-09-02 |
| 201870697130 | Articles of Organization | 2018-06-26 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
