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Bohnenkamp Behavioral Health, LLC

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Company Details

Name: Bohnenkamp Behavioral Health, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Apr 2019 (6 years ago)
Financial Date End: 30 Apr 2025
Date dissolved: 06 Jul 2024
Entity Number: 3470680
Place of Formation: IDAHO
File Number: 661019
ZIP code: 83501
County: Nez Perce County
Mailing Address: REBECCA BOHNENKAMP STE B 609 BRYDEN AVE LEWISTON, ID 83501-5193
Principal Address: REBECCA BOHNENKAMP 2020 POWERS AVE LEWISTON, ID 83501-6149

Agent

Name Role Address
Rebecca A Bohnenkamp Agent 609 BRYDEN AVENUE, STE B, REBECCA BOHNENKAMP, LEWISTON, ID 83501

Manager

Name Role Address Appointed On
Rebecca Ann Bohnenkamp Manager 609 BRYDEN AVENUE, LEWISTON, ID 83501 2021-03-25

National Provider Identifier

NPI Number:
1982268553
Certification Date:
2022-02-09

Authorized Person:

Name:
REBECCA ANN BOHNENKAMP
Role:
OWNER/CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2084139976

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005987290 2024-11-18
Dissolution/Revocation - Administrative 0005805076 2024-07-06
Application for Reinstatement 0005323758 2023-07-18
Change of Registered Office/Agent/Both (by Entity) 0005323756 2023-07-16
Dissolution/Revocation - Administrative 0005319170 2023-07-13

USAspending Awards / Financial Assistance

Date:
2021-01-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
10000.00
Total Face Value Of Loan:
20000.00

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State