| Name: | Blackstone Valley Family Therapy, Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 19 Feb 2004 (21 years ago) |
| Date of Dissolution: | 16 Feb 2021 (4 years ago) |
| Date of Status Change: | 16 Feb 2021 (4 years ago) |
| Identification Number: | 000138097 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 2190 MENDON ROAD SUITE 3, CUMBERLAND, RI, 02864, USA |
| Purpose: | THE PSYCHOLOGICAL ASSESSMENT AND ALL THERAPEUTIC SERVICES ASSOCIATED THEREWITH |
| NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982859997 | 2008-11-19 | 2009-01-06 | PO BOX 7683, CUMBERLAND, RI, 028640897, US | 2190 MENDON RD, SUITE 3, CUMBERLAND, RI, 028643805, US | |||||||||||||||
|
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| Phone | +1 401-475-5500 |
| Fax | 4014755549 |
Authorized person
| Name | DR. DAVID INGLE |
| Role | OWNER |
| Phone | 4014755500 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVID W. INGLE | Agent | 2190 MENDON ROAD SUITE 3, CUMBERLAND, RI, 02864, USA |
| Name | Role | Address |
|---|---|---|
| DAVID W. INGLE | PRESIDENT | 2190 MENDON ROAD CUMBERLAND, RI 02864 USA |
| Number | Name | File Date |
|---|---|---|
| 202191472770 | Articles of Dissolution | 2021-02-16 |
| 202035083520 | Annual Report | 2020-02-25 |
| 201882839490 | Annual Report | 2018-12-18 |
| 201858701150 | Annual Report | 2018-02-21 |
| 201737182010 | Annual Report | 2017-03-02 |
| 201693083260 | Annual Report | 2016-02-24 |
| 201693057720 | Statement of Change of Registered/Resident Agent | 2016-02-24 |
| 201693057900 | Annual Report | 2016-02-24 |
| 201693058060 | Annual Report | 2016-02-24 |
| 201693057360 | Reinstatement | 2016-02-24 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
