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BOOTH PSYCHOLOGICAL SOLUTIONS, PLLC

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Company Details

Name: BOOTH PSYCHOLOGICAL SOLUTIONS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 01 Mar 2006 (19 years ago)
Financial Date End: 31 Mar 2019
Date dissolved: 14 Jul 2019
Entity Number: 155997
Place of Formation: IDAHO
File Number: 155997
ZIP code: 83622
County: Boise County
Principal Address: 10 CREEKSIDE CT GARDEN VALLEY, ID 83622

Agent

Name Role Address
RAY BOOTH Agent 10 CREEKSIDE CT, GARDEN VALLEY, ID 83622

National Provider Identifier

NPI Number:
1598276438

Authorized Person:

Name:
RAYDELL J BOOTH
Role:
PSYCHOLOGIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2089087129

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003564938 2019-07-14
Annual Report 0001529319 2018-01-29
Annual Report 0001529318 2017-01-24
Annual Report 0001529317 2016-01-18
Annual Report 0001529316 2015-01-16

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Date of last update: 28 May 2025

Sources: Idaho Secretary of State