| 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)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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871360388 | 2023-12-05 | 2023-12-05 | PO BOX 154, CUMBERLAND, RI, 028640154, US | 2090 WALLUM LAKE RD, PASCOAG, RI, 028591813, US | |||||||||||||
|
|||||||||||||||||
| 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
