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JONATHAN L CRIST DO, LLC

Company Details

Name: JONATHAN L CRIST DO, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 20 May 2020 (5 years ago)
Identification Number: 001707980
ZIP code: 02809
County: Bristol County
Principal Address: 13A STATE STREET, BRISTOL, RI, 02809, USA
Mailing Address: 1 IMPERIAL PLACE STE 1D, PROVIDENCE, RI, 02903, USA
Purpose: SPECIALIZES IN TREATMENT OF MOOD AND ANXIETY DISORDERS IN ADULTS AND COLLEGE STUDENTS. PRACTICES A HOLISTIC APPROACH TO HEALTH, ONE THAT FOCUSES ON MIND/BODY INTEGRATION AND ENCOURAGES NON-MEDICATION METHODS OF TREATMENT WHEN POSSIBLE
NAICS: 621112 - Offices of Physicians, Mental Health Specialists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821663766 2021-05-24 2021-05-24 13A STATE ST, BRISTOL, RI, 028091811, US 13A STATE ST, BRISTOL, RI, 028091811, US

Contacts

Phone +1 401-254-1200
Fax 4014044301

Authorized person

Name DR. JONATHAN L CRIST
Role PSYCHIATRIST
Phone 4012541200

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
JONATHAN CRIST Agent 13A STATE STREET, BRISTOL, RI, 02809, USA

Filings

Number Name File Date
202453393090 Annual Report 2024-04-30
202336087830 Annual Report 2023-05-25
202216711020 Annual Report 2022-05-03
202103203360 Annual Report 2021-10-14
202044343280 Articles of Amendment 2020-07-08
202040531690 Articles of Organization 2020-05-20

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State