| Name: | Bayberry Psychology & Consulting, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Aug 2021 (3 years ago) |
| Identification Number: | 001728555 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 291 WATERMAN ST, PROVIDENCE, RI, 02906, USA |
| Purpose: | BEHAVIORAL HEALTH SERVICES (INDIVIDUAL AND GROUP) |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| Fictitious names: |
Bayberry Center for Eating Disorders (trading name, 2023-04-11 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932816980 | 2022-10-31 | 2022-10-31 | 9 APPIAN WAY, BARRINGTON, RI, 028061821, US | 291 WATERMAN ST, PROVIDENCE, RI, 029065130, US | |||||||||||||||
|
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| Phone | +1 901-490-9700 |
| Phone | +1 401-426-4239 |
Authorized person
| Name | DR. THOMAS S MCCANN |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9014909700 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS MCCANN | Agent | 9 APPIAN WAY, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 202451659800 | Annual Report | 2024-04-19 |
| 202332783600 | Fictitious Business Name Statement | 2023-04-11 |
| 202328022300 | Annual Report | 2023-02-09 |
| 202208094160 | Annual Report | 2022-01-18 |
| 202100353590 | Articles of Organization | 2021-08-25 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
