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CENTRAL MOUNTAINS COUNSELING, PLLC

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Company Details

Name: CENTRAL MOUNTAINS COUNSELING, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 25 Oct 2007 (18 years ago)
Financial Date End: 31 Oct 2019
Date dissolved: 16 Dec 2018
Entity Number: 214736
Place of Formation: IDAHO
File Number: 214736
ZIP code: 83638
County: Valley County
Principal Address: PO BOX 2553 MCCALL, ID 83638
Mailing Address: PO BOX 2553 MCCALL, ID 83638-2553

Agent

Name Role Address
JACOB WILSON Agent 301 DEINHARD, MCCALL, ID 83638

National Provider Identifier

NPI Number:
1841470887

Authorized Person:

Name:
MR. JACOB W. WILSON
Role:
OWNER/CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2086344055

Filing

Filing Name Filing Number Filing date
Annual Report 0003372762 2018-12-16
Statement of Dissolution 0003372763 2018-12-16
Annual Report 0001779295 2017-08-31
Annual Report 0001779294 2016-10-28
Annual Report 0001779293 2015-09-15

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Date of last update: 29 May 2025

Sources: Idaho Secretary of State