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Leslie Brackett, LLC

Company Details

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)

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
LESLIE BRACKETT Agent 18 MAPLE AVENUE #291, BARRINGTON, RI, 02806, USA

Filings

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