| Name: | Rhode Island Counseling Associates L.L.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Apr 2018 (7 years ago) |
| Identification Number: | 001683346 |
| ZIP code: | 02920 |
| County: | Providence County |
| Principal Address: | 1150 RESERVOIR AVE STE 203, CRANSTON, RI, 02920, USA |
| Purpose: | MIXED MODEL MENTAL HEALTH GROUP PRACTICE |
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 | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336638303 | 2018-05-05 | 2021-01-26 | 1150 RESERVOIR AVE STE 203, CRANSTON, RI, 029206043, US | 1150 RESERVOIR AVE STE 203, CRANSTON, RI, 029206043, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 401-259-0340 |
Authorized person
| Name | JEREMY KEITH HILLIS |
| Role | PARTNER |
| Phone | 4012590340 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MHC00757 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JEREMY HILLIS | Agent | 1150 RESERVOIR AVENUE SUITE 203, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| JEREMY KEITH HILLIS | Manager | 1150 RESERVOIR AVE,, SUITE 203 CRANSTON , RI 02920 USA |
| ENIAYO EGBERONGBE | Manager | 1150 RESERVOIR AVE,, SUITE 203 CRANSTON , RI 02920 USA |
| Number | Name | File Date |
|---|---|---|
| 202444408480 | Annual Report | 2024-01-22 |
| 202338621320 | Annual Report | 2023-06-23 |
| 202337240900 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202209106600 | Annual Report | 2022-02-01 |
| 202107257530 | Annual Report | 2021-12-20 |
| 202106143780 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202066502940 | Annual Report | 2020-10-20 |
| 201920857600 | Statement of Change of Registered/Resident Agent Office | 2019-09-20 |
| 201920857060 | Annual Report | 2019-09-20 |
| 201918888230 | Revocation Notice For Failure to Maintain a Registered Office | 2019-09-11 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
