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Brave Connections Mental Health Therapy, LLC

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Company Details

Name: Brave Connections Mental Health Therapy, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 May 2019 (6 years ago)
Financial Date End: 31 May 2026
Entity Number: 3515525
Place of Formation: IDAHO
File Number: 666667
ZIP code: 83835
County: Kootenai County
Principal Address: 8680 N. WAYNE DR, SUITE A HAYDEN, ID 83835
Mailing Address: STE A 8680 N WAYNE DR HAYDEN, ID 83835-5037

Agent

Name Role Address
Jennifer A Belmont Agent 8680 N WAYNE DR SUITE A, HAYDEN, ID 83835

Manager

Name Role Address Appointed On
Jennifer A Belmont Manager 8680 N. WAYNE DR, HAYDEN, ID 83835 2021-05-03

National Provider Identifier

NPI Number:
1093495814
Certification Date:
2023-07-18

Authorized Person:

Name:
JENNIFER AMBER BELMONT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
2086355908

Filing

Filing Name Filing Number Filing date
Annual Report 0006242299 2025-05-06
Annual Report 0005743766 2024-05-21
Annual Report 0005238736 2023-05-10
Annual Report 0004716576 2022-04-26
Annual Report 0004264635 2021-05-03

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State