| Name: | Bright Star Behavioral LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 22 Nov 2021 (3 years ago) |
| Date of Dissolution: | 10 Jun 2024 (10 months ago) |
| Date of Status Change: | 10 Jun 2024 (10 months ago) |
| Identification Number: | 001732346 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 120 ARMISTICE BLVD UNIT 1, PAWTUCKET, RI, 02860, USA |
| Mailing Address: | 17115 ASTIN MANSION LANE, CYPRESS, TX, 77433, USA |
| Purpose: | BRIGHT STAR BEHAVIORAL IS A MINORITY-OWNED MENTAL HEALTH PRACTICE |
| Historical names: |
Brightstar Behavioral LLC |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114685880 | 2021-11-30 | 2022-10-11 | 110 ARMISTICE BLVD STE 3, PAWTUCKET, RI, 028605354, US | 110 ARMISTICE BLVD, PAWTUCKET, RI, 028605354, US | |||||||||||||
|
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| Phone | +1 508-762-7344 |
Authorized person
| Name | REBECCA FREMPONG ANTWI |
| Role | OWNER |
| Phone | 5097627344 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REBECCA AWTWI | Agent | 110 ARMISTICE BOULEVARD UNIT 3, PAWTUCKET, RI, 02860, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2022-10-27 | Brightstar Behavioral LLC | Bright Star Behavioral LLC |
| Number | Name | File Date |
|---|---|---|
| 202455534310 | Revocation Certificate For Failure to Maintain a Registered Office | 2024-06-10 |
| 202454674170 | Miscellaneous Filing (No Fee) | 2024-05-21 |
| 202453472650 | Annual Report | 2024-05-01 |
| 202449537400 | Revocation Notice For Failure to Maintain a Registered Office | 2024-03-27 |
| 202448626510 | Registered Office Not Maintained | 2024-01-02 |
| 202326211120 | Annual Report | 2023-01-19 |
| 202224357100 | Articles of Amendment | 2022-10-27 |
| 202214543830 | Annual Report | 2022-04-12 |
| 202105267630 | Articles of Organization | 2021-11-22 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
