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Pacific Wellness LLC

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Company Details

Name: Pacific Wellness LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Aug 2020 (5 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 3951669
Place of Formation: IDAHO
File Number: 719901
ZIP code: 83814
County: Kootenai County
Principal Address: STE D - #2040 212 W IRONWOOD DRIVE COEUR D’ALENE, ID 83814
Mailing Address: STE 314 13403 N GOVERNMENT WAY HAYDEN, ID 83835-8913

Agent

Name Role Address
ROBIN HAPPENY Agent 13403 N. GOVERNMENT WAY, SUITE 314, HAYDEN, ID 83835

Manager

Name Role Address Appointed On
ROBIN HAPPENY Manager 13403 N GOVERNMENT WAY UNIT 314, HAYDEN, ID 83835 2021-08-02

National Provider Identifier

NPI Number:
1881204741
Certification Date:
2021-10-29

Authorized Person:

Name:
ROBIN HAPPENY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005826781 2024-07-23
Annual Report 0005317829 2023-07-12
Annual Report 0004805195 2022-07-05
Annual Report 0004363848 2021-08-02
Statement of Change of Business Mailing Address 0004030355 2020-10-12

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Date of last update: 14 Jun 2025

Sources: Idaho Secretary of State