| Name: | Shauna E. Summers, Ph.D., LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Mar 2020 (5 years ago) |
| Identification Number: | 001706192 |
| ZIP code: | 02889 |
| County: | Kent County |
| Principal Address: | 31 HARVARD AVE, WARWICK, RI, 02889, USA |
| Purpose: | PSYCHOLOGIST PROVIDING INDIVIDUAL PSYCHOTHERAPY TO ADULT CLIENTS OVER THE AGE OF 18 YEARS OLD. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578190831 | 2020-03-26 | 2024-05-05 | 31 HARVARD AVE, WARWICK, RI, 028892115, US | 31 HARVARD AVE, WARWICK, RI, 028892115, US | |||||||||||||||
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| Phone | +1 401-644-7417 |
| Fax | 8776038031 |
Authorized person
| Name | DR. SHAUNA E. SUMMERS |
| Role | PRESIDENT |
| Phone | 4016447417 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAUNA E. SUMMERS | Agent | 31 HARVARD AVENUE, WARWICK, RI, 02889, USA |
| Number | Name | File Date |
|---|---|---|
| 202453187590 | Annual Report - Amended | 2024-04-30 |
| 202447378230 | Annual Report | 2024-02-27 |
| 202327549970 | Annual Report | 2023-02-05 |
| 202214955480 | Annual Report | 2022-04-17 |
| 202107002220 | Annual Report | 2021-12-12 |
| 202106304190 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202036574360 | Articles of Organization | 2020-03-19 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
