Name: | Leslie Brackett, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 28 Feb 2023 (2 years ago) |
Identification Number: | 001753563 |
ZIP code: | 02806 |
County: | Bristol County |
Principal Address: | 18 MAPLE AVENUE #291, BARRINGTON, RI, 02806, USA |
Purpose: | THIS BUSINESS IS A PSYCHOTHERAPIST PRIVATE PRACTICE. |
NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1265281513 | 2024-05-17 | 2024-05-17 | #291, 18 MAPLE AVENUE, BARRINGTON, RI, 02806, US | 18 MAPLE AVE # 291, BARRINGTON, RI, 028063560, US | |||||||||||||
|
Phone | +1 401-222-0267 |
Authorized person
Name | LESLIE KENNEDY BRACKETT |
Role | CLINICIAN/ADMINISTRATOR |
Phone | 4012220267 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LESLIE BRACKETT | Agent | 18 MAPLE AVENUE #291, BARRINGTON, RI, 02806, USA |
Number | Name | File Date |
---|---|---|
202449164930 | Annual Report | 2024-03-22 |
202329585930 | Articles of Organization | 2023-02-28 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State