| Name: | ARISE Psychotherapy Services, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Aug 2021 (4 years ago) |
| Identification Number: | 001727680 |
| ZIP code: | 02861 |
| County: | Providence County |
| Principal Address: | 367 ORIENT AVENUE, PAWTUCKET, RI, 02861, USA |
| Purpose: | OWN AND PROVIDE INDIVIDUAL COUNSELING SERVICES, AND FOR ANY OTHER LAWFUL PURPOSE. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679248108 | 2021-08-16 | 2022-07-06 | 367 ORIENT AVE, PAWTUCKET, RI, 028612251, US | 367 ORIENT AVE, PAWTUCKET, RI, 028612251, US | |||||||||||||||||||||||
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| Phone | +1 401-320-4458 |
| Fax | 4013401572 |
Authorized person
| Name | ANDREW D LEONARD |
| Role | OWNER/LEAD CLINICIAN |
| Phone | 4013204458 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARISE PSYCHOTHERAPY SERVICES 401(K) PLAN | 2023 | 872003252 | 2024-05-24 | ARISE PSYCHOTHERAPY SERVICES, INC. | 1 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-24 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 4015437971 |
| Plan sponsor’s address | 410 NORTH BROADWAY, EAST PROVIDENCE, RI, 02914 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-01 |
| Name of individual signing | ANDREW LEONARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Sponsor’s telephone number | 4015437971 |
| Plan sponsor’s address | 410 NORTH BROADWAY, EAST PROVIDENCE, RI, 02914 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-26 |
| Name of individual signing | ANDREW LEONARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| AMY E. STRATTON | Agent | 4 RICHMOND SQUARE SUITE 150, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| ANDREW LEONARD | SECRETARY | 367 ORIENT AVENUE PAWTUCKET, RI 02861 USA |
| Name | Role | Address |
|---|---|---|
| ANDREW LEONARD | TREASURER | 367 ORIENT AVENUE PAWTUCKET, RI 02861 USA |
| Name | Role | Address |
|---|---|---|
| ANDREW LEONARD | PRESIDENT | 367 ORIENT AVENUE PAWTUCKET, RI 02861 USA |
| Number | Name | File Date |
|---|---|---|
| 202450924080 | Annual Report | 2024-04-12 |
| 202330929280 | Annual Report | 2023-03-15 |
| 202213877350 | Annual Report | 2022-04-04 |
| 202199858260 | Articles of Incorporation | 2021-08-03 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
