| 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: | PROVIDING IN-HOME CLINICAL SOCIAL WORK SERVICES TO CHILDREN, TEENAGERS, ADULTS AND FAMILIES |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| 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 | |||||||||||||||||||||||||||||||
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| 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: 07 Oct 2024
Sources: Rhode Island Department of State
