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PACIFIC MIND INSTITUTE LLC

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Company Details

Name: PACIFIC MIND INSTITUTE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Aug 2013 (12 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 391130
Place of Formation: IDAHO
File Number: 391130
ZIP code: 83646
County: Ada County
Principal Address: 1500 E. HERITAGE PARK STREET SUITE 150 MERIDIAN, ID 83646
Mailing Address: 1200 N MAIN ST # 1550 MERIDIAN, ID 83680-5062

Agent

Name Role Address
ERICA VAN LEUVEN Agent 1200 N. MAIN ST., #1550, MERIDIAN, ID 83680

Manager

Name Role Address Appointed On
Pacific Mind Institute Manager 1200 N. MAIN ST., MERIDIAN, ID 83680 2020-07-07

National Provider Identifier

NPI Number:
1346759495

Authorized Person:

Name:
ERICA JANE VAN LEUVEN
Role:
OWNER/CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2089060807

Filing

Filing Name Filing Number Filing date
Annual Report 0006340356 2025-07-04
Annual Report 0005809191 2024-07-07
Annual Report 0005303395 2023-07-05
Annual Report 0004814910 2022-07-10
Annual Report 0004331523 2021-07-03

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
28080.00
Total Face Value Of Loan:
28080.00
Date:
2014-06-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
10000.00
Total Face Value Of Loan:
10000.00
Date:
2014-03-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
15000.00
Total Face Value Of Loan:
15000.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$28,080
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,080
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$28,238.34
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $28,080

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Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State