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North Idaho Neurotherapy LLC

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Company Details

Name: North Idaho Neurotherapy LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Jan 2020 (5 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 3743408
Place of Formation: IDAHO
File Number: 694276
ZIP code: 83864
County: Bonner County
Principal Address: LINDA LARSON STE 312 102 S EUCLID AVE SANDPOINT, ID 83864-4938
Mailing Address: 217 CEDAR ST PMB 177 SANDPOINT, ID 83864-1410

Agent

Name Role Address
Linda I Larson Agent 217 CEDAR ST, # 177, SANDPOINT, ID 83864

Manager

Name Role Address Appointed On Resigned On
Linda I. Larson Manager 217 CEDAR ST #177, SANDPOINT, ID 83864-1410 2021-01-11 2023-01-11
Linda I Larson Manager 217 CEDAR ST., SANDPOINT, ID 83864 2025-01-31 No data

National Provider Identifier

NPI Number:
1487310702
Certification Date:
2025-05-27

Authorized Person:

Name:
DR. LINDA LARSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006086855 2025-01-31
Application for Reinstatement 0005696266 2024-04-17
Dissolution/Revocation - Administrative 0005689933 2024-04-12
Annual Report 0005061333 2023-01-11
Annual Report 0004547020 2022-01-03

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State