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RAELYNN GRANT COUNSELING LLC

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Company Details

Name: RAELYNN GRANT COUNSELING LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jan 2012 (13 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 340095
Place of Formation: IDAHO
File Number: 340095
ZIP code: 83706
County: Ada County
Principal Address: 1415 S COLORADO AVE BOISE, ID 83706
Mailing Address: 11086 W MORELA DR BOISE, ID 83709-7097

Agent

Name Role Address
RAYLYNN GRANT Agent 1415 S COLORADO AVE, BOISE, ID 83706

Member

Name Role Address Appointed On
Raelynn Grant Member 11086 W. MORELA DR, BOISE, ID 83709 2021-01-14

National Provider Identifier

NPI Number:
1801691647
Certification Date:
2025-02-16

Authorized Person:

Name:
MRS. RAELYNN GRANT
Role:
OWNER/ CLINICAL COUNSELOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006075112 2025-01-20
Annual Report 0005503498 2023-12-06
Annual Report 0005020128 2022-12-08
Annual Report 0004551279 2022-01-03
Annual Report 0004135233 2021-01-14

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Date of last update: 02 Jun 2025

Sources: Idaho Secretary of State