| Name: | MENTAL HEALTH CONSULTANT SERVICE LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 May 2006 (19 years ago) |
| Identification Number: | 000155525 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 400 RESERVOIR AVE STE 2G, PROVIDENCE, RI, 02907, USA |
| Purpose: | PSYCHOTROPIC MEDICATION MANAGEMENT AND REFERRALS TO OTHER HEALTH PROVIDERS/COMMUNITY RESOURCES AS NEEDED. NO LONGER PROVIDING PSYCHOTHERAPY SERVICES. |
NAICS
621330 Offices of Mental Health Practitioners (except Physicians)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104332725 | 2017-12-19 | 2024-01-24 | 400 RESERVOIR AVE STE 2G, PROVIDENCE, RI, 029073594, US | 400 RESERVOIR AVE STE 2G, PROVIDENCE, RI, 029073594, US | |||||||||||||||||||
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| Phone | +1 401-632-4470 |
| Fax | 4016324470 |
Authorized person
| Name | CRISTIANA MORENA RITWIK |
| Role | OWNER |
| Phone | 4016324470 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRISTIANA RITWIK | Agent | 400 RESERVOIR AVENUE SUITE 2G, PROVIDENCE, RI, 02907, USA |
| Name | Role | Address |
|---|---|---|
| CRISTIANA MORENA RITWIK | Manager | 747 PONTIAC AVENUE STE 214 CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202450668560 | Statement of Change of Registered/Resident Agent | 2024-04-10 |
| 202449528930 | Revocation Notice For Failure to Maintain a Registered Office | 2024-03-27 |
| 202444623810 | Annual Report | 2024-01-24 |
| 202448607050 | Registered Office Not Maintained | 2024-01-02 |
| 202327488350 | Annual Report | 2023-02-03 |
| 202210744240 | Annual Report | 2022-02-14 |
| 202104192870 | Annual Report | 2021-10-28 |
| 202060495130 | Annual Report | 2020-10-02 |
| 201917839800 | Annual Report | 2019-09-06 |
| 201880786930 | Annual Report | 2018-11-05 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
