| 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 (4 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) |
| Fictitious names: |
Bayberry Center for Eating Disorders (trading name, 2023-04-11 - ) |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
