Search icon

Clearwater Neurosciences, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: Clearwater Neurosciences, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Oct 2020 (5 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4015798
Place of Formation: IDAHO
File Number: 728289
ZIP code: 83501
County: Nez Perce County
Principal Address: STACY HILL SUITE 6 3326 4TH ST. LEWISTON, ID 83501
Mailing Address: STACY HILL STE 6 3326 4TH ST LEWISTON, ID 83501-4455

Agent

Name Role Address
Stacy W Hill Agent 3326 4TH STREET, SUITE 6, LEWISTON, ID 83501

Manager

Name Role Address Appointed On Resigned On
Stacy W Hill Manager 3326 4TH ST, LEWISTON, ID 83501 2023-09-22 No data
Natasha V. Demattos Manager 3326 4TH ST., LEWISTON, ID 83501 2021-11-24 2023-09-22

National Provider Identifier

NPI Number:
1760086300
Certification Date:
2020-11-24

Authorized Person:

Name:
MS. GAIL RICHARDSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2087462226

Filing

Filing Name Filing Number Filing date
Annual Report 0005997103 2024-12-02
Amendment to Certificate 0005524370 2023-12-21
Change of Registered Office/Agent/Both (by Entity) 0005510725 2023-12-13
Change of Registered Office/Agent/Both (by Entity) 0005506525 2023-12-08
Annual Report 0005409168 2023-09-22

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 18 May 2025

Sources: Idaho Secretary of State