Name: | Happy and Free Healing, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 24 Jan 2019 (6 years ago) |
Identification Number: | 001692217 |
ZIP code: | 02886 |
County: | Kent County |
Principal Address: | 21 COLLEGE HILL ROAD 2ND FLOOR, WARWICK, RI, 02886, US |
Mailing Address: | 48 HAZARD ST, COVENTRY, RI, 02816, USA |
Purpose: | MENTAL HEALTH COUNSELING GROUP PRACTICE |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. 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 | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1184188088 | 2019-01-24 | 2019-01-24 | 48 HAZARD ST, COVENTRY, RI, 028167225, US | 21 COLLEGE HILL RD FL 2, WARWICK, RI, 028862745, US | |||||||||||||||||||||||||||||
|
Phone | +1 814-421-8428 |
Phone | +1 401-702-4191 |
Authorized person
Name | THERESA TEOFILAK-WILSON |
Role | OWNER, LMHC |
Phone | 8144218428 |
Taxonomy
Taxonomy Code | 101Y00000X - Counselor |
Is Primary | Yes |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1356735211 |
State | RI |
Issuer | NPI 1 |
Number | 1356735211 |
Name | Role | Address |
---|---|---|
JONATHAN L. UCRAN CPA | Agent | 36 SMITH AVENUE, GREENVILLE, RI, 02828, USA |
Number | Name | File Date |
---|---|---|
202450466210 | Annual Report | 2024-04-09 |
202343198220 | Annual Report | 2023-12-04 |
202343198400 | Statement of Change of Registered/Resident Agent | 2023-12-04 |
202343197980 | Reinstatement | 2023-12-04 |
202342213870 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-10-14 |
202340043730 | Revocation Notice For Failure to File An Annual Report | 2023-08-01 |
202339725090 | Registered Office Not Maintained | 2023-07-05 |
202337776850 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
202215256630 | Articles of Amendment | 2022-04-20 |
202212265130 | Annual Report | 2022-03-07 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State