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Flow State Psychotherapy, LLC

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Company Details

Name: Flow State Psychotherapy, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Oct 2019 (6 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 3651273
Place of Formation: IDAHO
File Number: 684627
ZIP code: 83333
County: Blaine County
Principal Address: STE 1 613 N. RIVER ST. HAILEY, ID 83333
Mailing Address: LYDIA MISSAL PO BOX 5895 HAILEY, ID 83333-5895

Agent

Name Role Address
Lydia J. Missal Agent 301 S 4TH ST, BELLEVUE, ID 83333

Member

Name Role Address Appointed On
Justin Highhouse Member PO BOX 5895, HAILEY, ID 83333-5895 2020-11-12

National Provider Identifier

NPI Number:
1891370284
Certification Date:
2021-03-17

Authorized Person:

Name:
LYDIA MISSAL
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005984526 2024-11-15
Annual Report 0005452419 2023-10-30
Annual Report 0004961501 2022-10-25
Annual Report 0004498199 2021-11-15
Annual Report 0004066784 2020-11-12

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State