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Authentic Change Psychotherapy, Inc.

Company Details

Name: Authentic Change Psychotherapy, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 03 Jan 2022 (3 years ago)
Identification Number: 001733799
ZIP code: 02906
County: Providence County
Purpose: THE PURPOSE OF THE CORPORATION IS OPERATE A PSYCHOTHERAPY COUNSELING AND CONSULTATION BUSINESS, AND FOR ANY OTHER LAWFUL PURPOSE.
Principal Address: Google Maps Logo 154 WATERMAN STREET SUITE 15, PROVIDENCE, RI, 02906, USA

Industry & Business Activity

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

Agent

Name Role Address
AMY E. STRATTON ESQ. Agent 4 RICHMOND SQUARE SUITE 150, PROVIDENCE, RI, 02906, USA

PRESIDENT

Name Role Address
BROOKE HUMINSKI PRESIDENT 133 GLENWOOD AVENUE PAWTUCKET, RI 02860 UNI

National Provider Identifier

NPI Number:
1144971342
Certification Date:
2022-01-23

Authorized Person:

Name:
BROOKE HUMINSKI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202457592200 Annual Report 2024-07-03
202457294230 Revocation Notice For Failure to File An Annual Report 2024-06-25
202330930510 Annual Report 2023-03-15
202207582460 Articles of Incorporation 2022-01-03
202567025560 Annual Report 2025-03-13

Date of last update: 14 May 2025

Sources: Rhode Island Department of State