Name: | Providence Perinatal Psychiatry LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 23 Jan 2023 (2 years ago) |
Identification Number: | 001751627 |
ZIP code: | 02906 |
County: | Providence County |
Principal Address: | 19 PRESIDENT AVE, PROVIDENCE, RI, 02906, USA |
Purpose: | PSYCHIATRIC MENTAL HEALTH NURSE PRACTIONER OFFICE- THERAPY AND MEDICATION MANAGEMENT FOR PATIENTS SUFFERING FROM MENTAL ILLNESS. |
NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780371633 | 2023-04-20 | 2023-04-20 | 19 PRESIDENT AVE, PROVIDENCE, RI, 029063315, US | 19 PRESIDENT AVE, PROVIDENCE, RI, 029063315, US | |||||||||||||
|
Phone | +1 401-744-9049 |
Authorized person
Name | SARAH STERN |
Role | PROVIDER/OWNER |
Phone | 4017449049 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SARAH STERN | Agent | 19 PRESIDENT AVE, PROVIDENCE, RI, 02906, USA |
Number | Name | File Date |
---|---|---|
202454102420 | Annual Report | 2024-05-08 |
202326480300 | Articles of Organization | 2023-01-23 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State