Name: | Park View Counseling, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of Organization in Rhode Island: | 25 Apr 2014 (11 years ago) |
Date of Dissolution: | 17 Nov 2020 (4 years ago) |
Date of Status Change: | 17 Nov 2020 (4 years ago) |
Identification Number: | 000925147 |
ZIP code: | 02908 |
County: | Providence County |
Principal Address: | 430 ACADEMY AVENUE, PROVIDENCE, RI, 02908, USA |
Purpose: | INDIVIDUAL, COUPLES, & FAMILY THERAPY. |
NAICS
621420 Outpatient Mental Health and Substance Abuse CentersThis industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Learn more at the U.S. Census Bureau
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669840617 | 2015-09-08 | 2015-09-08 | 430 ACADEMY AVE, PROVIDENCE, RI, 029084100, US | 430 ACADEMY AVE, PROVIDENCE, RI, 029084100, US | |||||||||||||||||||
|
Phone | +1 401-865-6019 |
Fax | 4018656019 |
Authorized person
Name | MR. TODD W ELLISON |
Role | OWNER/CLINICIAN |
Phone | 4014475952 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
License Number | ISW02033 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
TODD W. ELLISON | Agent | 432 ACADEMY AVENUE, PROVIDENCE, RI, 02908, USA |
Number | Name | File Date |
---|---|---|
202075909800 | Articles of Dissolution | 2020-11-17 |
202074226070 | Annual Report | 2020-11-12 |
202031414940 | Annual Report | 2020-01-08 |
201882169740 | Annual Report | 2018-12-04 |
201753557960 | Annual Report | 2017-11-17 |
201743174700 | Annual Report | 2017-05-13 |
201740063250 | Revocation Notice For Failure to File An Annual Report | 2017-04-06 |
201578125250 | Annual Report | 2015-09-07 |
201438450030 | Articles of Organization | 2014-04-25 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State