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Healing Minds Psychiatry, LLC

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Company Details

Name: Healing Minds Psychiatry, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 22 Jan 2021 (5 years ago)
Identification Number: 001718137
ZIP code: 02878
City: Tiverton
County: Newport County
Purpose: TO PROVIDE OUTPATIENT MENTAL HEALTH SERVICES
Principal Address: Google Maps Logo 301-303 STATE AVENUE, TIVERTON, RI, 02878, USA

Industry & Business Activity

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

Agent

Name Role Address
LISA M. DEJESUS Agent 67 SHERMAN AVENUE, BRISTOL, RI, 02809, USA

National Provider Identifier

NPI Number:
1477136513
Certification Date:
2024-02-07

Authorized Person:

Name:
LISA MARIE DEJESUS
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7743079039

Form 5500 Series

Employer Identification Number (EIN):
861812535
Plan Year:
2024
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)

Filings

Number Name File Date
202449409400 Annual Report 2024-03-25
202332699460 Statement of Change of Registered/Resident Agent 2023-04-10
202332703400 Annual Report 2023-04-10
202214449970 Annual Report 2022-04-08
202187572440 Articles of Organization 2021-01-22

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Date of last update: 16 Jul 2025

Sources: Rhode Island Department of State