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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
NORTHWEST REGISTERED AGENT LLC | Agent | 47 WOOD AVE STE 2, BARRINGTON, RI, 02806, USA |
Number | Name | File Date |
---|---|---|
202459118750 | Articles of Organization | 2024-08-29 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State