| Name: | South County Behavioral Medicine, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Sep 2000 (24 years ago) |
| Identification Number: | 000114628 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 177 NORTH WEEDEN ROAD, WAKEFIELD, RI, 02879, USA |
| Purpose: | TO PROVIDE PSYCHOLOGICAL TREATMENT AND ASSESSMENT |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255592044 | 2008-06-24 | 2008-06-24 | PO BOX 360, WAKEFIELD, RI, 028800360, US | 24 SALT POND RD, UNIT D3, WAKEFIELD, RI, 028794314, US | |||||||||||||
|
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| Phone | +1 401-789-2306 |
Authorized person
| Name | JON KIMPTON |
| Role | OWNER/ PRESIDENT |
| Phone | 4017892306 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JON KIMPTON | Agent | 177 NORTH WEEDEN ROAD, WAKEFIELD, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| JON KIMPTON | PRESIDENT | 177 NORTH WEEDEN ROAD WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202454676750 | Annual Report | 2024-05-21 |
| 202331445770 | Annual Report | 2023-03-20 |
| 202217443100 | Annual Report | 2022-05-17 |
| 202193116410 | Annual Report | 2021-02-25 |
| 202036216170 | Annual Report | 2020-03-11 |
| 201986367510 | Annual Report | 2019-02-11 |
| 201986367330 | Statement of Change of Registered/Resident Agent Office | 2019-02-11 |
| 201985055760 | Revocation Notice For Failure to Maintain a Registered Office | 2019-01-24 |
| 201984532730 | Registered Office Not Maintained | 2019-01-07 |
| 201859570890 | Annual Report | 2018-02-28 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
