Name: | Equanimity, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 02 Sep 2018 (6 years ago) |
Identification Number: | 001687875 |
ZIP code: | 02915 |
County: | Providence County |
Principal Address: | 38 AMARAL ST., RIVERSIDE, RI, 02915, USA |
Purpose: | PSYCHIATRIC AND THERAPY SERVICES BY A NURSE PRACTITIONER, PMHNP-BC |
NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
Fictitious names: |
EquanimityRI (trading name, 2024-01-23 - ) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952131385 | 2024-08-01 | 2024-08-01 | 38 AMARAL ST, RIVERSIDE, RI, 029152205, US | 38 AMARAL ST, RIVERSIDE, RI, 029152205, US | |||||||||||||||||||
|
Phone | +1 401-521-5800 |
Fax | 4018271933 |
Authorized person
Name | DR. SAMUEL KAUFMAN |
Role | OWNER |
Phone | 4015215800 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | No |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SAMUEL KAUFMAN | Agent | 34 RICE AVENUE, EAST PROVIDENCE, RI, 02914, USA |
Number | Name | File Date |
---|---|---|
202457655950 | Annual Report | 2024-07-08 |
202456090860 | Revocation Notice For Failure to File An Annual Report | 2024-06-18 |
202444563710 | Fictitious Business Name Statement | 2024-01-23 |
202329693130 | Annual Report | 2023-03-01 |
202210205200 | Annual Report | 2022-02-14 |
202107243100 | Annual Report | 2021-12-20 |
202105850670 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
202069890990 | Annual Report | 2020-10-29 |
201926380490 | Annual Report | 2019-10-31 |
201876489360 | Articles of Organization | 2018-09-02 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State