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Carol A. G. Gillen, LMHC, LLC

Company Details

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 - )

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CAROL A. G. GILLEN Agent 20 GLENNA DRIVE, SMITHFIELD, RI, 02917, USA

Filings

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5239107408 2020-05-12 0165 PPP 20 GLENNA DR, SMITHFIELD, RI, 02917-3540
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 7423
Loan Approval Amount (current) 7423
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SMITHFIELD, PROVIDENCE, RI, 02917-3540
Project Congressional District RI-01
Number of Employees 1
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 7481.78
Forgiveness Paid Date 2021-03-03

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State