| Name: | Wendy C. Miller, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 03 Feb 2017 (8 years ago) |
| Date of Dissolution: | 18 Oct 2019 (6 years ago) |
| Date of Status Change: | 18 Oct 2019 (6 years ago) |
| Identification Number: | 001670660 |
| ZIP code: | 02892 |
| County: | Washington County |
| Principal Address: | 501 KINGSTOWN ROAD, RICHMOND, RI, 02892, USA |
| Purpose: | CLINICAL SOCIAL WORKER SPECIALIST, MENTAL HEALTH PRACTITIONER Title: 7-1.2-1701 |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619416393 | 2017-02-15 | 2017-02-15 | 33 GALWAY CT, WAKEFIELD, RI, 028792403, US | 501 KINGSTOWN RD, WEST KINGSTON, RI, 028921125, US | |||||||||||||||||||
|
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| Phone | +1 401-932-0658 |
| Fax | 4017894487 |
Authorized person
| Name | WENDY MILLER |
| Role | OWNER |
| Phone | 4019320658 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW02073 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES A. BRIDEN | Agent | 150 MAIN STREET, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| WENDY C MILLER | PRESIDENT | 33 GALWAY COURT WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 201924661960 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
| 201907195530 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201861120810 | Annual Report | 2018-03-28 |
| 201731575340 | Articles of Incorporation | 2017-02-03 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
