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NORTHWEST NEUROBEHAVIORAL HEALTH, LLC

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Company Details

Name: NORTHWEST NEUROBEHAVIORAL HEALTH, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Dec 2008 (17 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 248670
Place of Formation: IDAHO
File Number: 248670
ZIP code: 83642
County: Ada County
Principal Address: 2463 E GALA ST #100 MERIDIAN, ID 83642
Mailing Address: STE 100 2463 E GALA ST MERIDIAN, ID 83642-5210

Agent

Name Role Address
JEFF HALL Agent 2463 E GALA ST, #100, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On Resigned On
Laura J Curtis Manager 2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210 2020-11-03 No data
Jeffrey D Hall Manager 2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210 2023-11-28 2023-11-28
James A Carpenter Manager 2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210 2023-11-28 2023-11-28

Member

Name Role Address Appointed On Resigned On
Jami D Pifer Member 2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210 2023-11-28 2023-11-28
Kimberly L Parks Member 2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210 2023-11-28 2023-11-28
Laura J Curtis Member 2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210 2024-12-23 No data

National Provider Identifier

NPI Number:
1568766566

Authorized Person:

Name:
JEREMY EVANS
Role:
BILLING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

Fax:
2083239070

Filing

Filing Name Filing Number Filing date
Annual Report 0006034184 2024-12-23
Annual Report 0005488932 2023-11-28
Annual Report 0004997069 2022-11-18
Annual Report 0004529285 2021-12-14
Annual Report 0004050727 2020-11-03

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
113290.00
Total Face Value Of Loan:
113290.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
113290
Current Approval Amount:
113290
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
114115.62

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Date of last update: 30 May 2025

Sources: Idaho Secretary of State