| Name: | Champs Psychological Services, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 26 Feb 2020 (5 years ago) |
| Date of Dissolution: | 31 Dec 2023 (a year ago) |
| Date of Status Change: | 31 Dec 2023 (a year ago) |
| Identification Number: | 001705293 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 16 CEDAR POND DR APT 8, WARWICK, RI, 02886, USA |
| Purpose: | PROVIDES A HYBRID OF MENTAL HEALTH AND PERSONAL TRAINING 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063053056 | 2019-10-01 | 2019-10-01 | 5 MECHANIC ST, HOPE VALLEY, RI, 028322023, US | 5 MECHANIC ST, HOPE VALLEY, RI, 028322023, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 401-477-6513 |
Authorized person
| Name | MS. SAMANTHA SANDLAND |
| Role | OWNER/FOUNDER |
| Phone | 4014776513 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMANTHA SANDLAND | Agent | 16 CEDAR POND DRIVE APT. 8, WARWICK, RI, 02886, USA |
| Number | Name | File Date |
|---|---|---|
| 202343138280 | Articles of Dissolution | 2023-11-30 |
| 202328216150 | Annual Report | 2023-02-13 |
| 202221025200 | Annual Report | 2022-07-11 |
| 202219081300 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202103376910 | Annual Report | 2021-10-18 |
| 202103375670 | Statement of Change of Registered/Resident Agent Office | 2021-10-18 |
| 202102526280 | Revocation Notice For Failure to Maintain a Registered Office | 2021-10-04 |
| 202102426210 | Registered Office Not Maintained | 2021-09-24 |
| 202035219370 | Articles of Organization | 2020-02-26 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
