Name: | Partners in Psychiatry LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 14 Aug 2018 (6 years ago) |
Date of Dissolution: | 29 Dec 2020 (4 years ago) |
Date of Status Change: | 29 Dec 2020 (4 years ago) |
Identification Number: | 001687258 |
ZIP code: | 02865 |
County: | Providence County |
Principal Address: | 1525 LOUISQUISSET PIKE BUILDING B SUITE 203, LINCOLN, RI, 02865, USA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1538622394 | 2019-04-09 | 2019-04-09 | 1525 OLD LOUISQUISSET PIKE STE B203, LINCOLN, RI, 028654522, US | 1525 OLD LOUISQUISSET PIKE STE B203, LINCOLN, RI, 028654522, US | |||||||||||||
|
Phone | +1 774-291-0617 |
Authorized person
Name | TABITHA IMONDI |
Role | PSYCHIATRIC NP/OWNER |
Phone | 4018296678 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
TABITHA IMONDI | Agent | 1525 LOUISQUISSET PIKE BUILDING B SUITE 203, LINCOLN, RI, 02865, USA |
Number | Name | File Date |
---|---|---|
202082654980 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-29 |
202045706110 | Revocation Notice For Failure to File An Annual Report | 2020-07-20 |
201874481690 | Articles of Organization | 2018-08-14 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State