Search icon

Opal Behavioral Health LLC

Company Details

Name: Opal Behavioral Health LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 06 Jan 2023 (2 years ago)
Identification Number: 001750729
ZIP code: 02909
County: Providence County
Purpose: PSYCHIATRIC AND THERAPEUTIC TREATMENT FOR BEHAVIORAL HEALTH CONDITIONS OF ADULTS IN AN OFFICE SETTING.
Mailing Address: Google Maps Logo 3 RINGGOLD ST, PROVIDENCE, RI, 02903, USA
Principal Address: Google Maps Logo 331 BROADWAY SUITE 302, PROVIDENCE, RI, 02909, 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
SUSANNA DRAINE Agent 3 RINGGOLD STREET, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1851098479
Certification Date:
2023-04-05

Authorized Person:

Name:
SUSANNA DRAIGHAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4012003166

Filings

Number Name File Date
202453435240 Annual Report 2024-04-30
202325812030 Articles of Organization 2023-01-06
202566118380 Annual Report 2025-03-04

Date of last update: 15 May 2025

Sources: Rhode Island Department of State