| 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 ServicesThis industry comprises establishments primarily engaged in providing nonresidential individual and family social assistance services (except those specifically directed toward children, the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities). Learn more at the U.S. Census Bureau
| 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
