| Name: | Sage Psychotherapy, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Jul 2024 (6 months ago) |
| Identification Number: | 001776940 |
| ZIP code: | 02917 |
| County: | Providence County |
| Principal Address: | 72 FARNUM PIKE, SMITHFIELD, RI, 02917, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134948276 | 2024-10-07 | 2024-10-07 | 72 FARNUM PIKE, SMITHFIELD, RI, 029173224, US | 72 FARNUM PIKE, SMITHFIELD, RI, 029173224, US | |||||||||||||
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| Phone | +1 401-952-2361 |
Authorized person
| Name | ALLIE DICOSTANZO |
| Role | OWNER |
| Phone | 4019522361 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLIE M DICOSTANZO | Agent | 72 FARNUM PIKE, SMITHFIELD, RI, 02917, USA |
| Number | Name | File Date |
|---|---|---|
| 202458334700 | Articles of Organization | 2024-07-25 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
