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Providence Perinatal Psychiatry LLC

Company Details

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)

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SARAH STERN Agent 19 PRESIDENT AVE, PROVIDENCE, RI, 02906, USA

Filings

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