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Incline Mental Health PLLC

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Company Details

Name: Incline Mental Health PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Feb 2020 (5 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 3790645
Place of Formation: IDAHO
File Number: 701103
ZIP code: 83704
County: Ada County
Principal Address: AARON J. CRUM STE 101 413 N ALLUMBAUGH ST BOISE, ID 83704-9219

Agent

Name Role Address
Aaron J Crum Agent 413 NORTH ALLUMBAUGH STREET, # 101, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
Aaron J Crum Manager 413 N. ALLUMBAUGH ST, BOISE, ID 83704 2021-01-19 2023-02-27
Aaron J Crum Manager 413 N ALLUMBAUGH ST, BOISE, ID 83704 2025-02-25 No data

National Provider Identifier

NPI Number:
1598391278
Certification Date:
2021-04-21

Authorized Person:

Name:
DR. AARON J CRUM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083239604

Filing

Filing Name Filing Number Filing date
Annual Report 0006128405 2025-02-25
Dissolution/Revocation - Administrative 0005726951 2024-05-07
Application for Reinstatement 0005728271 2024-05-07
Annual Report 0005126741 2023-02-27
Annual Report 0004660142 2022-03-14

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State