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Bright Star Behavioral LLC

Company Details

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 (7 months ago)
Date of Status Change: 10 Jun 2024 (7 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
NAICS: 621112 - Offices of Physicians, Mental Health Specialists
Historical names: Brightstar Behavioral LLC

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
REBECCA AWTWI Agent 110 ARMISTICE BOULEVARD UNIT 3, PAWTUCKET, RI, 02860, USA

Events

Type Date Old Value New Value
Name Change 2022-10-27 Brightstar Behavioral LLC Bright Star Behavioral LLC

Filings

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