| 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) |
| 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
