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LIGHTMIND PSYCHIATRY LLC

Company Details

Name: LIGHTMIND PSYCHIATRY LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 29 Aug 2024 (5 months ago)
Identification Number: 001778436
ZIP code: 02806
County: Bristol County
Principal Address: 47 WOOD AVE STE 2, BARRINGTON, RI, 02806, US

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033944202 2024-09-05 2024-09-24 PO BOX 9014, WARWICK, RI, 028890014, US 1981 BROAD ST, CRANSTON, RI, 029053430, US

Contacts

Phone +1 401-859-3335
Fax 4012464655

Authorized person

Name SUSAN GAGNON
Role PRESIDENT
Phone 4018593335

Taxonomy

Taxonomy Code 163WP0809X - Adult Psychiatric/Mental Health Registered Nurse
Is Primary Yes

Agent

Name Role Address
NORTHWEST REGISTERED AGENT LLC Agent 47 WOOD AVE STE 2, BARRINGTON, RI, 02806, USA

Filings

Number Name File Date
202459118750 Articles of Organization 2024-08-29

Date of last update: 29 Oct 2024

Sources: Rhode Island Department of State