| 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 (12 years ago) |
| Date of Dissolution: | 29 Jul 2021 (3 years ago) |
| Date of Status Change: | 29 Jul 2021 (3 years ago) |
| Identification Number: | 000794259 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 515 BROAD STREET APT 2, CUMBERLAND, RI, 02864, USA |
| Purpose: | COUNSELING AND CONSULTING SERVICES Title: 7-1.2-1701 |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912241811 | 2012-11-15 | 2012-11-15 | 10 NATE WHIPPLE HWY, BUD BLDG. 2ND FLOOR, CUMBERLAND, RI, 028641415, US | 10 NATE WHIPPLE HWY, BUD BLDG. 2ND FLOOR, CUMBERLAND, RI, 028641415, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-658-6448 |
| Fax | 4016580100 |
Authorized person
| Name | KIM M MEDEIROS |
| Role | PRESIDENT |
| Phone | 4016586448 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MHC00198 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONICA HORAN, ESQ. | Agent | 393 ARMISTICE BOULEVARD, PAWTUCKET, RI, 02861, USA |
| Name | Role | Address |
|---|---|---|
| KIM M MEDEIROS CANNATA | PRESIDENT | 44 BRYANT STREET CUMBERLAND, RI 02864 USA |
| 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 |
| 201734930010 | Annual Report | 2017-02-24 |
| 201692624860 | Annual Report | 2016-02-16 |
| 201557450980 | Annual Report | 2015-03-12 |
| 201437110700 | Annual Report | 2014-01-28 |
| 201314619960 | Annual Report | 2013-03-29 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
