| Name: | SALT & LIGHT BEHAVIORAL HEALTH & WELLNESS LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 04 Oct 2022 (2 years ago) |
| Identification Number: | 001746918 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 32 JONES STREET, CUMBERLAND, RI, 02864, USA |
| Mailing Address: | 32 JONES ST, CUMBERLAND, RI, 02864, USA |
| Purpose: | PSYCHIATRIC MENTAL HEALTH CARE SERVICES INCLUDING MEDICATION MANAGEMENT, BRIEF THERAPY, LAB WORK AND REFERRALS AS APPROPRIATE. VISITS ARE CONDUCTED BY TELEHEALTH. SERVICES ARE ALSO SUB-CONTRACTED TO OTHER OUTPATIENT FACILITIES |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396443164 | 2023-02-21 | 2024-01-18 | 32 JONES ST, CUMBERLAND, RI, 028648136, US | 32 JONES ST, CUMBERLAND, RI, 028648136, US | |||||||||||||||
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| Phone | +1 401-250-0123 |
| Fax | 9494048298 |
Authorized person
| Name | LAURA LANGEVIN |
| Role | DIRECTOR |
| Phone | 4012500123 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERNARD A POIRIER, CPA | Agent | 469 CENTERVILLE ROAD SUITE 203, WARWICK, RI, 02886, USA |
| Number | Name | File Date |
|---|---|---|
| 202451704050 | Annual Report | 2024-04-19 |
| 202339704950 | Annual Report | 2023-07-24 |
| 202337272190 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202223165670 | Articles of Organization | 2022-10-04 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
