| Name: | Deborah C. Matson - MSW, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Aug 1999 (25 years ago) |
| Date of Dissolution: | 02 Nov 2017 (7 years ago) |
| Date of Status Change: | 02 Nov 2017 (7 years ago) |
| Identification Number: | 000107694 |
| ZIP code: | 02909 |
| County: | Providence County |
| Principal Address: | 331 BROADWAY, PROVIDENCE, RI, 02909, USA |
| Purpose: | TO PROVIDE COUNSELING SERVICES. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285900761 | 2012-03-28 | 2012-03-28 | 88 WINDWARD LN, BRISTOL, RI, 028091551, US | 331 BROADWAY, PROVIDENCE, RI, 029091101, US | |||||||||||||||||||
|
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| Phone | +1 401-455-0799 |
| Fax | 4014542773 |
Authorized person
| Name | MS. DEBORAH CONSTANCE MATSON |
| Role | PRESIDENT |
| Phone | 4014550799 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW00335 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEPHEN E. CICILLINE | Agent | 7 FAIR OAKS LANE, GREENVILLE, RI, 02828, USA |
| Name | Role | Address |
|---|---|---|
| DEBORAH C MATSON | PRESIDENT | 331 BROADWAY PROVIDENCE, RI 02909 USA |
| Number | Name | File Date |
|---|---|---|
| 201752769210 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-11-02 |
| 201747754890 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
| 201691689400 | Annual Report | 2016-02-03 |
| 201553965550 | Annual Report | 2015-01-20 |
| 201435770690 | Annual Report | 2014-02-18 |
| 201310556610 | Annual Report | 2013-01-30 |
| 201294268390 | Statement of Change of Registered/Resident Agent Office | 2012-06-25 |
| 201289217990 | Annual Report | 2012-02-07 |
| 201174055410 | Annual Report | 2011-01-25 |
| 201059567780 | Annual Report | 2010-02-24 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
