Name: | Carol A. G. Gillen, LMHC, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 06 May 2016 (9 years ago) |
Identification Number: | 001663091 |
ZIP code: | 02917 |
County: | Providence County |
Principal Address: | 28 CEDAR SWAMP ROAD UNIT 206, SMITHFIELD, RI, 02917, USA |
Mailing Address: | 20 GLENNA DRIVE, SMITHFIELD, RI, 02917, USA |
Purpose: | TO PROVIDE MENTAL HEALTH COUNSELING SERVICES TO CHILDREN ADOLESCENTS ADULTS AND FAMILIES |
Fictitious names: |
Gillen Psychotherapy (trading name, 2019-10-14 - ) |
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 | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336619006 | 2018-11-26 | 2018-11-26 | 28 CEDAR SWAMP RD UNIT 206, SMITHFIELD, RI, 029172447, US | 28 CEDAR SWAMP RD UNIT 206, SMITHFIELD, RI, 029172447, US | |||||||||||||||
|
Phone | +1 401-222-9882 |
Fax | 4016484854 |
Authorized person
Name | MS. CAROL ANN GENDRON GILLEN |
Role | OWNER |
Phone | 4012229882 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CAROL A. G. GILLEN | Agent | 20 GLENNA DRIVE, SMITHFIELD, RI, 02917, USA |
Number | Name | File Date |
---|---|---|
202446140810 | Annual Report | 2024-02-11 |
202327514770 | Annual Report | 2023-02-04 |
202211080860 | Annual Report | 2022-02-17 |
202102496880 | Annual Report | 2021-10-02 |
202070624050 | Annual Report | 2020-11-01 |
201924216980 | Fictitious Business Name Statement | 2019-10-14 |
201924216610 | Annual Report | 2019-10-14 |
201878010760 | Annual Report | 2018-09-23 |
201749856510 | Annual Report | 2017-09-18 |
201697061570 | Articles of Organization | 2016-05-06 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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5239107408 | 2020-05-12 | 0165 | PPP | 20 GLENNA DR, SMITHFIELD, RI, 02917-3540 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State