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Providence Wellness, LLC

Company Details

Name: Providence Wellness, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 06 Aug 2021 (4 years ago)
Date of Dissolution: 11 Sep 2023 (2 years ago)
Date of Status Change: 11 Sep 2023 (2 years ago)
Identification Number: 001727827
ZIP code: 02907
County: Providence County
Purpose: OUTPATIENT MENTAL HEALTH TREATMENT
Principal Address: Google Maps Logo 669 PUBLIC STREET, PROVIDENCE, RI, 02907, 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
ALEXANDER KAROFF-HUNGER Agent 669 PUBLIC STREET, PROVIDENCE, RI, 02907, USA

National Provider Identifier

NPI Number:
1659046936
Certification Date:
2021-08-10

Authorized Person:

Name:
ALEXANDER KAROFF HUNGER
Role:
LEAD CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202341086970 Revocation Certificate For Failure to File the Annual Report for the Year 2023-09-11
202337375440 Revocation Notice For Failure to File An Annual Report 2023-06-16
202220914190 Annual Report 2022-07-11
202219285230 Revocation Notice For Failure to File An Annual Report 2022-06-22
202100019360 Articles of Organization 2021-08-06

Date of last update: 14 May 2025

Sources: Rhode Island Department of State