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Metamorphosis Counseling and Health Center of Idaho, LLC

Company Details

Name: Metamorphosis Counseling and Health Center of Idaho, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Mar 2019 (6 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 3456698
Place of Formation: IDAHO
File Number: 658900
ZIP code: 83642
County: Ada County
Principal Address: CRYSTAL MILLER 954 N. GRAY CLOUD PL MERIDIAN, ID 83642
Mailing Address: CRYSTAL MILLER 722 BITTERROOT CT NAMPA, ID 83686

Agent

Name Role Address
Crystal M Miller Agent 2118 N AZURITE DR, CRYSTAL MILLER, KUNA, ID 83634

Manager

Name Role Address Appointed On Resigned On
Crystal M Miller Manager 5462 N BEAHAM AVE, MERIDIAN, ID 83646 2021-04-01 2024-03-30
Christopher J Tinsley Manager 2118 N AZURITE DR, KUNA, ID 83634 2024-03-30 2024-03-30
Crystal Michelle Miller Manager 2118 N AZURITE DR, KUNA, ID 83634 2024-03-30 No data

Managing Member

Name Role Address Appointed On
Crystal Michelle Miller Managing Member 722 BITTERROOT CT, NAMPA, ID 83686 2025-03-28

Filing

Filing Name Filing Number Filing date
Annual Report 0006176815 2025-03-28
Annual Report 0005663545 2024-03-30
Annual Report 0005169235 2023-03-28
Annual Report 0004626557 2022-03-01
Annual Report 0004224213 2021-04-01
Annual Report 0003855591 2020-04-30
Amendment to Certificate 0003481683 2019-04-17
Initial Filing 0003456698 2019-03-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8926287302 2020-05-01 1087 PPP 10108 W OVERLAND RD #A, BOISE, ID, 83709
Loan Status Date 2022-02-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 8320
Loan Approval Amount (current) 8320
Undisbursed Amount 0
Franchise Name -
Lender Location ID 87893
Servicing Lender Name Glacier Bank
Servicing Lender Address 202 Main St, KALISPELL, MT, 59901-4454
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address BOISE, ADA, ID, 83709-0001
Project Congressional District ID-02
Number of Employees 8
NAICS code 621330
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 87893
Originating Lender Name Glacier Bank
Originating Lender Address KALISPELL, MT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 8455.4
Forgiveness Paid Date 2021-12-28

Date of last update: 14 Apr 2025

Sources: Idaho Secretary of State