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MAC WEBB PSYCHOLOGY CLINIC, PLLC

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Company Details

Name: MAC WEBB PSYCHOLOGY CLINIC, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 27 Aug 2010 (15 years ago)
Financial Date End: 31 Aug 2019
Date dissolved: 25 Nov 2019
Entity Number: 297302
Place of Formation: IDAHO
File Number: 297302
ZIP code: 83687
County: Canyon County
Principal Address: 3904 E. FLAMINGO AVENUE 200 NAMPA, ID 83687

Agent

Name Role Address
MAC C WEBB Agent 3904 E. FLAMINGO AVENUE, SUITE 200, NAMPA, ID 83687

National Provider Identifier

NPI Number:
1346684271

Authorized Person:

Name:
DR. MAC C. WEBB
Role:
LICENSED PSYCHOLOGIST
Phone:

Taxonomy:

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

Contacts:

Fax:
2084665226

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003684586 2019-11-25
Annual Report 0002213500 2018-07-12
Annual Report 0002213499 2017-08-01
Annual Report 0002213498 2016-08-31
Annual Report 0002213497 2015-06-24

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State