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MOUNTAIN STATES CHEMICAL DEPENDENCY AND COUNSELING SERVICES, INC.

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Company Details

Name: MOUNTAIN STATES CHEMICAL DEPENDENCY AND COUNSELING SERVICES, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 24 Mar 1999 (26 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 392099
Place of Formation: IDAHO
File Number: 392099
ZIP code: 83651
County: Canyon County
Mailing Address: STE 201 1305 2ND ST S NAMPA, ID 83651-3964

Agent

Name Role Address
RUSTY O'LEARY Agent 1305 2ND ST S RM.#201, NAMPA, ID 83651

Secretary

Name Role Address Appointed On Resigned On
Maureen O'Leary Secretary 1305 2ND ST. S, NAMPA, ID 83651 2023-02-08 No data
MAUREEN K O'LEARY Secretary 10701 CHAPIN AVE, BOISE, ID 83709 2021-04-07 2023-02-08

Vice President

Name Role Address Appointed On Resigned On
Rusty O'Leary Vice President 1305 2ND ST. S, NAMPA, ID 83651 2024-02-05 2024-02-05

Treasurer

Name Role Address Appointed On Resigned On
LAURA M WIRICK Treasurer 1305 2ND ST. S, NAMPA, ID 83651 2024-02-05 2024-02-05

President

Name Role Address Appointed On Resigned On
RUSSELL C O'LEARY President 1305 2ND ST. S, NAMPA, ID 83651 2024-02-05 2024-02-05

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
208-463-0205
Contact Person:
RUSSELL OLEARY
User ID:
P1263661

Unique Entity ID

Unique Entity ID:
X2WCNZJDV1W4
CAGE Code:
61QQ4
UEI Expiration Date:
2025-12-16

Business Information

Division Name:
MOUNTAIN STATES CHEMICAL DEPENDENCY AND COUNSELING SERVICE
Activation Date:
2024-12-18
Initial Registration Date:
2010-06-24

Commercial and government entity program

CAGE number:
61QQ4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-18
CAGE Expiration:
2029-12-18
SAM Expiration:
2025-12-16

Contact Information

POC:
RUSSELL OLEARY

National Provider Identifier

NPI Number:
1114227097

Authorized Person:

Name:
MAUREEN OLEARY
Role:
AGENCY DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2084630205

Filing

Filing Name Filing Number Filing date
Annual Report 0006097762 2025-02-05
Annual Report 0005586610 2024-02-05
Annual Report 0005102697 2023-02-08
Annual Report 0004611301 2022-02-14
Annual Report 0004238856 2021-04-07

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Date of last update: 07 Aug 2025

Sources: Idaho Secretary of State