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HOLLIS MENTAL HEALTH SERVICES LLC

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Company Details

Name: HOLLIS MENTAL HEALTH SERVICES LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Dec 2009 (15 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 277028
Place of Formation: IDAHO
File Number: 277028
ZIP code: 83619
County: Payette County
Principal Address: 620 S IDAHO AVE FRUITLAND, ID 83619
Mailing Address: 12180 HILL RD PAYETTE, ID 83661

Agent

Name Role Address
NELA J HOLLIS Agent 12180 HILL RD, PAYETTE, ID 83661

Member

Name Role Address Appointed On
Nela J Hollis Member 12180 HILL RD, PAYETTE, ID 83661 2020-11-03

National Provider Identifier

NPI Number:
1225267149

Authorized Person:

Name:
MRS. NELA J HOLLIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2084525819

Filing

Filing Name Filing Number Filing date
Annual Report 0005979900 2024-11-13
Annual Report 0005506776 2023-12-09
Annual Report 0005032448 2022-12-16
Annual Report 0004496941 2021-11-13
Annual Report 0004050647 2020-11-03

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Date of last update: 31 May 2025

Sources: Idaho Secretary of State