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KM Counseling and Consultant Services, Inc.

Company Details

Name: KM Counseling and Consultant Services, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 02 Nov 2012 (13 years ago)
Date of Dissolution: 29 Jul 2021 (4 years ago)
Date of Status Change: 29 Jul 2021 (4 years ago)
Identification Number: 000794259
ZIP code: 02864
County: Providence County
Purpose: COUNSELING AND CONSULTING SERVICES Title: 7-1.2-1701
Principal Address: Google Maps Logo 515 BROAD STREET APT 2, CUMBERLAND, RI, 02864, USA

Industry & Business Activity

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

Agent

Name Role Address
MONICA HORAN, ESQ. Agent 393 ARMISTICE BOULEVARD, PAWTUCKET, RI, 02861, USA

PRESIDENT

Name Role Address
KIM M MEDEIROS CANNATA PRESIDENT 44 BRYANT STREET CUMBERLAND, RI 02864 USA

National Provider Identifier

NPI Number:
1912241811

Authorized Person:

Name:
KIM M MEDEIROS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
4016580100

Filings

Number Name File Date
202199691380 Revocation Certificate For Failure to File the Annual Report for the Year 2021-07-29
202196893570 Revocation Notice For Failure to File An Annual Report 2021-05-19
202034198630 Annual Report 2020-02-11
201987961960 Annual Report 2019-02-27
201859384550 Annual Report 2018-02-28

Date of last update: 30 May 2025

Sources: Rhode Island Department of State