Name: | Dramatic Healing LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 18 Apr 2023 (2 years ago) |
Identification Number: | 001756201 |
ZIP code: | 02903 |
County: | Providence County |
Principal Address: | 383 WEST FOUNTAIN STRET, PROVIDENCE, RI, 02903, USA |
Mailing Address: | 6 FAIROAKS AVE, PROVIDENCE, RI, 02908, USA |
Purpose: | A THERAPEUTIC PRIVATE PRACTICE OFFERING THERAPY SERVICES TO INDIVIDUALS AND COUPLES. |
NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780431114 | 2024-05-03 | 2024-05-03 | 6 FAIROAKS AVE, PROVIDENCE, RI, 029082809, US | 383 W FOUNTAIN ST, PROVIDENCE, RI, 029033515, US | |||||||||||||
|
Phone | +1 401-484-1208 |
Authorized person
Name | AMY LARSON LAZIER |
Role | OWNER/PROVIDER |
Phone | 4014841208 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
AMY LARSON LAZIER | Agent | 6 FAIROAKS AVE, PROVIDENCE, RI, 02908, USA |
Number | Name | File Date |
---|---|---|
202458715400 | Annual Report | 2024-08-09 |
202456461750 | Revocation Notice For Failure to File An Annual Report | 2024-06-18 |
202333248900 | Articles of Organization | 2023-04-18 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State