| Name: | Integrative Healing Center, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Apr 2022 (3 years ago) |
| Identification Number: | 001738620 |
| ZIP code: | 02920 |
| County: | Providence County |
| Principal Address: | 148 ATWOOD AVE #322, CRANSTON, RI, 02920, USA |
| Mailing Address: | 148 ATWOOD AVE 3322, CRANSTON, RI, 02920, USA |
| Purpose: | COUNCELING |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487391173 | 2022-05-16 | 2022-12-29 | 148 ATWOOD AVE # 322, CRANSTON, RI, 029204130, US | 33 RACHELA ST, JOHNSTON, RI, 029196249, US | |||||||||||||||||||
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| Phone | +1 401-648-0304 |
Authorized person
| Name | SANDRINE GUILHERME |
| Role | OWNER |
| Phone | 4014144781 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICSW |
| Number | 1053859264 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ABIMBOLA FUJAH | Agent | 33 RACHELA STREET, JOHNSTON, RI, 02919, USA |
| Number | Name | File Date |
|---|---|---|
| 202450072510 | Annual Report | 2024-04-03 |
| 202332270830 | Annual Report | 2023-04-03 |
| 202216980480 | Certificate of Correction | 2022-05-06 |
| 202214257890 | Articles of Organization | 2022-04-07 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
