| Name: | Archer Mental Wellness, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 17 Jun 2021 (4 years ago) |
| Identification Number: | 001725674 |
| ZIP code: | 02861 |
| County: | Providence County |
| Principal Address: | 63 BRISTOL AVENUE, PAWTUCKET, RI, 02861, USA |
| Purpose: | MENTAL HEALTH SERVICES TO CHILDREN, ADULTS, COUPLES AND FAMILIES CARRIED OUT BY A LICENSED MARRIAGE AND FAMILY THERAPIST. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043985633 | 2021-08-16 | 2021-08-16 | 63 BRISTOL AVE, PAWTUCKET, RI, 028612117, US | 63 BRISTOL AVE, PAWTUCKET, RI, 028612117, US | |||||||||||||
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| Phone | +1 401-572-8052 |
Authorized person
| Name | LISANDRA DE LACERDA DJU |
| Role | OWNER/THERAPIST |
| Phone | 4015728052 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LISANDRA DJU | Agent | 63 BRISTOL AVENUE, PAWTUCKET, RI, 02861, USA |
| Number | Name | File Date |
|---|---|---|
| 202459371010 | Annual Report | 2024-09-13 |
| 202456572320 | Revocation Notice For Failure to File An Annual Report | 2024-06-18 |
| 202336351580 | Annual Report | 2023-05-30 |
| 202217151410 | Annual Report | 2022-05-11 |
| 202198381930 | Articles of Organization | 2021-06-17 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
