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EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC

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Company Details

Name: EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Nov 2010 (15 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 303372
Place of Formation: IDAHO
File Number: 303372
ZIP code: 83617
County: Gem County
Principal Address: 2007 E QUAIL RUN RD SUITE 1 EMMETT, ID 83617
Mailing Address: MICHAEL LEE STE 1 2007 E QUAIL RUN RD EMMETT, ID 83617-5059

Agent

Name Role Address
MICHAEL S LEE Agent 2007 E QUAIL RUN RD, SUITE 1, EMMETT, ID 83617

Manager

Name Role Address Appointed On Resigned On
Cathy S Wall Manager 2007 E QUAIL RUN RD, EMMETT, ID 83617 2020-10-06 No data
Lori Avellar Manager 1007 E MAIN ST, EMMETT, ID 83617 2023-11-21 2023-11-21
Tracie Bolen Manager 3506 S BO DANIEL PL, NAMPA, ID 83687 2023-11-21 2023-11-21

Member

Name Role Address Appointed On Resigned On
Michael S Lee Member 2007 E QUAIL RD RD, EMMETT, ID 83617 2023-11-21 2023-11-21

National Provider Identifier

NPI Number:
1275932220

Authorized Person:

Name:
MICHAEL STEWART LEE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083656226

Filing

Filing Name Filing Number Filing date
Annual Report 0005969247 2024-11-06
Annual Report 0005485077 2023-11-21
Annual Report 0004969568 2022-11-03
Annual Report 0004969646 2022-11-03
Amendment to Certificate 0004876204 2022-09-02

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
72706.00
Total Face Value Of Loan:
72706.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
72706
Current Approval Amount:
72706
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
73301.59

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State