Name: | Family Tree Counseling, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 14 May 1992 (33 years ago) |
Identification Number: | 000068236 |
ZIP code: | 02910 |
County: | Providence County |
Principal Address: | 50 KEITH AVENUE, CRANSTON, RI, 02910, USA |
Purpose: | CLINICAL SOCIAL WORK SERVICES TO CHILDREN, TEENAGERS, ADULTS AND FAMILIES |
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
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952519787 | 2007-05-17 | 2020-08-22 | 50 KEITH AVE, CRANSTON, RI, 029105724, US | 50 KEITH AVE, CRANSTON, RI, 029105724, US | |||||||||||||||||||||||||||||||
|
Phone | +1 401-785-0608 |
Fax | 4017856042 |
Authorized person
Name | ANDY BARNES |
Role | SOCIAL WORKER OWNER |
Phone | 4017850608 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
License Number | ISW 483 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BEACON HEALTH STRATEGIES |
Number | 1022260 |
State | RI |
Issuer | MEDICAID |
Number | FT00129 |
State | RI |
Name | Role | Address |
---|---|---|
ANDY BARNES | Agent | 50 KEITH AVENUE, CRANSTON, RI, 02910, USA |
Name | Role | Address |
---|---|---|
ANDY BARNES MSW, LICSW | PRESIDENT | 50 KEITH AVEUE CRANSTON, RI 02910 USA |
Number | Name | File Date |
---|---|---|
202446152750 | Annual Report | 2024-02-12 |
202326903430 | Annual Report | 2023-01-24 |
202212504400 | Annual Report | 2022-03-02 |
202190952020 | Annual Report | 2021-02-10 |
201930875520 | Annual Report | 2019-12-30 |
201883204990 | Annual Report | 2018-12-24 |
201755433370 | Annual Report | 2017-12-28 |
201737458070 | Annual Report | 2017-03-06 |
201690040860 | Annual Report | 2016-01-04 |
201552667310 | Annual Report | 2015-01-02 |
Date of last update: 08 Apr 2025
Sources: Rhode Island Department of State