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SNAKE RIVER COUNSELING CENTER, LLC

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Company Details

Name: SNAKE RIVER COUNSELING CENTER, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Jan 2012 (13 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 340241
Place of Formation: IDAHO
File Number: 340241
ZIP code: 83404
County: Bonneville County
Principal Address: 2635 CHANNING WAY STE B IDAHO FALLS, ID 83404
Mailing Address: 121 1970 EAST 17TH STREET IDAHO FALLS, ID 83404

Agent

Name Role Address
JOEL BUXTON Agent 1970 EAST 17TH STREET, 121, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On Resigned On
Christine Buxton Mrs Manager 1284 S WOODRUFF AVE, IDAHO FALLS, ID 83404 2021-02-04 2022-04-19
Joel Christine Buxton Manager 1970 EAST 17TH STREET, IDAHO FALLS, ID 83404 2024-01-10 No data
Christine Christine Buxton Manager 1284 S. WOODRUFF AVE, IDAHO FALLS, ID 83404-7848 2022-12-27 2024-01-10
Pamela Christine C Buxton Manager 11876 S COUNTRY CLUB DR, IDAHO FALLS, ID 83404 2022-04-19 2022-12-27

National Provider Identifier

NPI Number:
1235401522

Authorized Person:

Name:
JULI POPEJOY
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2085522518

Filing

Filing Name Filing Number Filing date
Annual Report 0006027605 2024-12-16
Annual Report 0005557787 2024-01-10
Annual Report 0005038696 2022-12-27
Dissolution/Revocation - Administrative 0004702259 2022-04-19
Application for Reinstatement 0004704575 2022-04-19

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Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State