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Summit Creek Counseling LLC

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Company Details

Name: Summit Creek Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Dec 2019 (5 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 3712958
Place of Formation: IDAHO
File Number: 691773
ZIP code: 83252
County: Oneida County
Principal Address: 57 BANNOCK STREET MALAD, ID 83252
Mailing Address: STE 100 655 S 4TH E PRESTON, ID 83263-1616

Manager

Name Role Address Appointed On
Jodie Barnes Manager 655 S. 4TH E., PRESTON, ID 83263 2020-11-03

Agent

Name Role Address
Jodie Barnes Agent 655 S. 4TH E. STE 100, PRESTON, ID 83263

National Provider Identifier

NPI Number:
1609415199
Certification Date:
2019-12-31

Authorized Person:

Name:
JODIE BARNES
Role:
MANAGER/MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006006419 2024-12-04
Statement of Change of Business Mailing Address 0005903696 2024-09-18
Change of Registered Office/Agent/Both (by Entity) 0005903701 2024-09-18
Annual Report 0005508930 2023-12-12
Annual Report 0004982796 2022-11-05

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State