| Name: | CANAAN PSYCHOTHERAPY INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Sep 2001 (23 years ago) |
| Identification Number: | 000120545 |
| ZIP code: | 02817 |
| County: | Kent County |
| Principal Address: | 140 LAKE DRIVE, WEST GREENWICH, RI, 02817, USA |
| Purpose: | TO MARKET, PROMOTE AND PROVIDE THERAPEUTIC COUNSELING CLIENTS. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982118295 | 2017-11-22 | 2023-10-08 | 140 LAKE DR, WEST GREENWICH, RI, 028171563, US | 85 BEACH ST, WESTERLY, RI, 028912717, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-338-3782 |
| Fax | 4013973488 |
| Phone | +1 401-596-6866 |
Authorized person
| Name | MRS. CYNTHIA P LONGWAY |
| Role | PRESIDENT |
| Phone | 4013383782 |
Taxonomy
| Taxonomy Code | 364SP0809X - Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | CAPRN00031 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OPTUM |
| Number | 1861447831 |
| State | RI |
| Issuer | BEACON HEALTH OPTIONS |
| Number | BNP001353 |
| State | RI |
| Issuer | BCBSRI |
| Number | 1861447831 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| RUI P. ALVES, ESQ. | Agent | ONE FINANCIAL PLAZA 18TH FLOOR C/O BARTON GILMAN LLP, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | TREASURER | 140 LAKE DRIVE WEST GREENWICH, RI 02817 USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | SECRETARY | 140 LAKE DRIVE WEST GREENWICH, RI 02817 USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | PRESIDENT | 140 LAKE DRIVE WEST GREENWICH, RI 02817- USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | VICE PRESIDENT | 140 LAKE DRIVE WEST GREENWICH, RI 02817 USA |
| Number | Name | File Date |
|---|---|---|
| 202453333410 | Annual Report | 2024-04-30 |
| 202334761570 | Annual Report | 2023-04-30 |
| 202217981170 | Annual Report | 2022-05-31 |
| 202191424030 | Annual Report | 2021-02-16 |
| 202073753900 | Annual Report | 2020-11-10 |
| 202073753270 | Statement of Change of Registered/Resident Agent Office | 2020-11-10 |
| 202055016810 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201986349110 | Annual Report | 2019-02-11 |
| 201755228200 | Annual Report | 2017-12-20 |
| 201730006430 | Annual Report | 2017-01-12 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
