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HILLCREST COUNSELING AND TESTING CENTER, PLLC

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Company Details

Name: HILLCREST COUNSELING AND TESTING CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 18 Jan 2013 (12 years ago)
Financial Date End: 31 Jan 2014
Date dissolved: 14 Apr 2014
Entity Number: 371799
Place of Formation: IDAHO
File Number: 0000371799
ZIP code: 83705
County: Ada County
Principal Address: 4696 W OVERLAND RD STE 156 BOISE, ID 83705

National Provider Identifier

NPI Number:
1326386202

Authorized Person:

Name:
LEAH REAGAN
Role:
LICENSED CLINICAL PROFESSIONAL COUN
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2085776617

Filing

Filing Name Filing Number Filing date
Legacy Amendment 0002592973 2013-11-22
Initial Filing 0000371799 2013-01-18

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State