Name: | Burrows Mental Health Counseling, Inc |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 14 Dec 2006 (18 years ago) |
Date of Dissolution: | 07 Feb 2017 (8 years ago) |
Date of Status Change: | 07 Feb 2017 (8 years ago) |
Identification Number: | 000160300 |
ZIP code: | 02879 |
County: | Washington County |
Principal Address: | 30 HOLLEY STREET, SOUTH KINGSTOWN, RI, 02879, USA |
Purpose: | Providing psychotherapy to adult individuals with various mental health diagnoses. |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174708408 | 2008-01-06 | 2008-01-06 | 22 RED FEATHER TRL S, WAKEFIELD, RI, 028792044, US | 30 HOLLEY ST, WAKEFIELD, RI, 028793300, US | |||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 401-783-7542 |
Fax | 4012843236 |
Phone | +1 401-284-0446 |
Authorized person
Name | ROBIN BURROWS |
Role | PRESIDENT |
Phone | 4012840446 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | MHC 00037 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CHIP |
Number | 406359 |
State | RI |
Issuer | BLUE CROSS |
Number | 22343-4 |
State | RI |
Issuer | UNITED HEALTH CARE |
Number | 6243273 |
State | RI |
Issuer | NEIGHBORHOOD HEALTH |
Number | 1020670 |
State | RI |
Name | Role | Address |
---|---|---|
ROBIN MELLO | Agent | 22 RED FEATHER TRAIL SOUTH, SOUTH KINGSTOWN, RI, 02879, USA |
Name | Role | Address |
---|---|---|
ROBIN MELLO | PRESIDENT | 22 RED FEATHER TR S SOUTH KINGSTOWN , RI 02 |
Number | Name | File Date |
---|---|---|
201733695550 | Articles of Dissolution | 2017-02-07 |
201689986180 | Annual Report | 2016-01-04 |
201554825060 | Annual Report | 2015-02-10 |
201439958670 | Annual Report | 2014-05-28 |
201439546480 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
201310082830 | Annual Report | 2013-01-21 |
201290491440 | Annual Report | 2012-03-01 |
201173064260 | Annual Report | 2011-01-03 |
201056368100 | Annual Report | 2010-01-17 |
200944762240 | Annual Report | 2009-04-01 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State