| Name: | Providence Psychotherapy Clinic, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Feb 2020 (5 years ago) |
| Identification Number: | 001704398 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 280 BROADWAY, PROVIDENCE, RI, 02903, USA |
| Purpose: | SOCIAL WORKER |
| NAICS: | 624190 - Other Individual and Family Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083233423 | 2020-04-15 | 2020-04-15 | 280 BROADWAY LOWR LEVEL, PROVIDENCE, RI, 029033007, US | 280 BROADWAY LOWR LEVEL, PROVIDENCE, RI, 029033007, US | |||||||||||||||
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| Phone | +1 401-229-9696 |
| Fax | 4017652431 |
Authorized person
| Name | QUINN FLATLEY WRIGHT |
| Role | PRACTICE OWNER |
| Phone | 4012299696 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRAVIS HAMPTON | Agent | 1120 AQUIDNECK AVE, MIDDLETOWN, RI, 02842, USA |
| Name | Role | Address |
|---|---|---|
| QUINN FLATLEY | INCORPORATOR | 135 LEO AVENUE PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 202452940420 | Annual Report | 2024-04-29 |
| 202335133240 | Annual Report | 2023-05-02 |
| 202209973220 | Annual Report | 2022-02-10 |
| 202190003290 | Annual Report | 2021-02-04 |
| 202033585990 | Articles of Incorporation | 2020-02-03 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
