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EMPOWERED LEGACY CENTER LLC

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Company Details

Name: EMPOWERED LEGACY CENTER LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 04 Nov 2024 (8 months ago)
Identification Number: 001781175
ZIP code: 02919
City: Johnston
County: Providence County
Purpose: BEHAVIORAL HEALTH
Principal Address: Google Maps Logo 1200 HARTFORD AVENUE, JOHNSTON, RI, 02919, USA
Mailing Address: Google Maps Logo 82 MANUAL AVENUE, JOHNSTON, RI, 02919, USA

Industry & Business Activity

NAICS

621330 Offices of Mental Health Practitioners (except Physicians)

This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
REPUBLIC REGISTERED AGENT LLC Agent 50 INDUSTRIAL CIR #105, LINCOLN, RI, 02865, USA

National Provider Identifier

NPI Number:
1710702204
Certification Date:
2024-12-06

Authorized Person:

Name:
FRANK LUDERS PAUL
Role:
THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202460958550 Articles of Organization 2024-11-04
202572625320 Annual Report 2025-05-01

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Date of last update: 18 Jul 2025

Sources: Rhode Island Department of State