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Heart and Mind Counseling, PLLC

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Company Details

Name: Heart and Mind Counseling, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Aug 2019 (6 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 3596168
Place of Formation: IDAHO
File Number: 677150
ZIP code: 83712
County: Ada County
Principal Address: LAURA ROOT 115 E. LOUISA ST. BOISE, ID 83712
Mailing Address: LAURA ROOT BLVD 1005 E PARK BOISE, ID 83712-8234

Manager

Name Role Address Appointed On
Laura E Root Manager 115 LOUISA ST, BOISE, ID 83712 2020-07-17

Agent

Name Role Address
Laura Root Agent 1005 E PARK, BLVD, LAURA ROOT, BOISE, ID 83712

National Provider Identifier

NPI Number:
1659944353
Certification Date:
2022-06-04

Authorized Person:

Name:
LAURA E ROOT
Role:
OWNER/CLINICIAN
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005795779 2024-07-03
Annual Report 0005302711 2023-07-04
Annual Report 0004813392 2022-07-09
Amendment to Certificate 0004422318 2021-09-17
Annual Report 0004345874 2021-07-13

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State