| Name: | Radically Thrive Therapy LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Feb 2024 (a year ago) |
| Identification Number: | 001768871 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 295 ANGELL STREET STE 2B, PROVIDENCE, RI, 02906, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346003290 | 2024-02-02 | 2024-02-28 | 295 ANGELL ST STE 2B, PROVIDENCE, RI, 029062119, US | 295 ANGELL ST STE 2B, PROVIDENCE, RI, 029062119, US | |||||||||||||
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| Phone | +1 401-484-0208 |
Authorized person
| Name | MS. NIKOLE BARNES |
| Role | OWNER |
| Phone | 4016484402 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NIKOLE BARNES | Agent | 61 SHEFFIELD AVENUE, PAWTUCKET, RI, 02860, USA |
| Number | Name | File Date |
|---|---|---|
| 202445279520 | Articles of Organization | 2024-02-01 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
