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Millie Gaitan Counseling PLLC

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Company Details

Name: Millie Gaitan Counseling PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Aug 2019 (6 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 3597734
Place of Formation: IDAHO
File Number: 677448
ZIP code: 83301
County: Twin Falls County
Principal Address: 160 MAIN AVENUE NORTH TWIN FALLS, ID 83301
Mailing Address: 160 MAIN AVE N TWIN FALLS, ID 83301-6101

Agent

Name Role Address
ROCKET LAWYER CORPORATE SERVICES LLC Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On
MILDRED A GAITAN-GONZALEZ Manager 160 MAIN AVE N, TWIN FALLS, ID 83301 2021-09-21

National Provider Identifier

NPI Number:
1619634425
Certification Date:
2021-11-29

Authorized Person:

Name:
MS. MILDRED A GAITAN GONZALEZ
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

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

Contacts:

Fax:
2087330929

Filing

Filing Name Filing Number Filing date
Annual Report 0006373331 2025-07-29
Registered Agent Name/Address Change (mass change) 0006287939 2025-05-29
Annual Report 0005823976 2024-07-18
Annual Report 0005316398 2023-07-11
Registered Agent Name/Address Change (mass change) 0004913411 2022-09-14

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Date of last update: 16 Aug 2025

Sources: Idaho Secretary of State