| Name: | Lamara Ford APRN LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Jun 2022 (3 years ago) |
| Identification Number: | 001742526 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 194 WATERMAN STREET SUITE 11, PROVIDENCE, RI, 02906, USA |
| Purpose: | INDEPENDENT MENTAL HEALTH PRACTITIONER (PMHNP) PROVIDING DIAGNOSIS AND TREATMENT OF MENTAL HEALTH AND/OR SUBSTANCE ABUSE CONDITIONS. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| Fictitious names: |
Inner Resilience Psychiatry and Wellness (trading name, 2023-05-02 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790460822 | 2023-06-16 | 2024-06-05 | 194 WATERMAN ST STE 204, PROVIDENCE, RI, 029064015, US | 194 WATERMAN ST STE 11, PROVIDENCE, RI, 029064015, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 401-386-9105 |
Authorized person
| Name | LAMARA FORD |
| Role | OWNER |
| Phone | 4013869105 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202445609570 | Annual Report | 2024-02-05 |
| 202335515550 | Annual Report - Amended | 2023-05-10 |
| 202335177730 | Fictitious Business Name Statement | 2023-05-02 |
| 202330348270 | Annual Report | 2023-03-09 |
| 202219941280 | Articles of Organization | 2022-06-23 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
