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Crescent Moon Counseling, LLC

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Company Details

Name: Crescent Moon Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Dec 2019 (6 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 3701639
Place of Formation: IDAHO
File Number: 690178
ZIP code: 83815
County: Kootenai County
Principal Address: KERYN RICHARDS 1055 E TIMBER LN COEUR D ALENE, ID 83815
Mailing Address: KERYN RICHARDS 1055 E TIMBER LN COEUR D ALENE, ID 83815-6508

Agent

Name Role Address
Keryn Richards Agent 1055 E TIMBER LN, COEUR D ALENE, ID 83815

Manager

Name Role Address Appointed On
Keryn Richards Manager 1055 E. TIMBER LN, CDA, ID 83815 2020-11-05

National Provider Identifier

NPI Number:
1518592344
Certification Date:
2020-03-12

Authorized Person:

Name:
KERYN RICHARDS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005962808 2024-11-04
Annual Report 0005485459 2023-11-21
Annual Report 0004973108 2022-11-03
Annual Report 0004516520 2021-12-04
Annual Report 0004059453 2020-11-05

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Date of last update: 13 Jun 2025

Sources: Idaho Secretary of State