| 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)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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144709932 | 2018-08-13 | 2018-08-13 | 4 MIDDLE ST, BARRINGTON, RI, 028061924, US | 147 COUNTY RD STE 300A-B, BARRINGTON, RI, 028064536, US | |||||||||||||||||
|
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| 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
