| Name: | Breakwater Counseling LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 29 Nov 2023 (a year ago) |
| Identification Number: | 001765902 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | PO BOX 154, CUMBERLAND, RI, 02864, USA |
| Mailing Address: | 895 MENDON RD. SUITE D, CUMBERLAND, RI, 02864, USA |
| Purpose: | PROVIDE SOCIAL WORK SERVICES AND ANY OTHER LAWFUL BUSINESS ACTIVITY. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871360388 | 2023-12-05 | 2023-12-05 | PO BOX 154, CUMBERLAND, RI, 028640154, US | 2090 WALLUM LAKE RD, PASCOAG, RI, 028591813, US | |||||||||||||
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| Phone | +1 401-426-2954 |
Authorized person
| Name | TIFFANY MARTIN |
| Role | OWNER |
| Phone | 4013382741 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TIFFANY MARTIN | Agent | 895 MENDON ROAD SUITE D, CUMBERLAND, RI, 02864, USA |
| Number | Name | File Date |
|---|---|---|
| 202459214650 | Statement of Change of Registered/Resident Agent | 2024-09-03 |
| 202457420620 | Annual Report | 2024-06-26 |
| 202342980970 | Articles of Organization | 2023-11-29 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
