| 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)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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
