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Phoenix Rising Centers LLC

Company Details

Name: Phoenix Rising Centers LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 20 Jun 2022 (3 years ago)
Identification Number: 001742232
ZIP code: 02879
County: Washington County
Purpose: PSYCHOTHERAPY PRACTICE IN THE STATE OF RHODE ISLAND.
Principal Address: Google Maps Logo 313 MAIN ST G, WAKEFIELD, RI, 02879, 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
MADRONE PHOENIX Agent 1 RICHMOND SQUARE 333W, PROVIDENCE, RI, 02906, USA

National Provider Identifier

NPI Number:
1376276832
Certification Date:
2022-10-13

Authorized Person:

Name:
MADRONE B. PHOENIX
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No

Contacts:

Fax:
4012108248

Filings

Number Name File Date
202453974460 Annual Report 2024-05-07
202327936590 Annual Report 2023-02-09
202218654910 Articles of Organization 2022-06-20
202563519900 Annual Report 2025-01-30

Date of last update: 15 May 2025

Sources: Rhode Island Department of State