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Renelle Brubaker Counseling LLC

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Company Details

Name: Renelle Brubaker Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Nov 2020 (5 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4050782
Place of Formation: IDAHO
File Number: 732515
ZIP code: 83651
County: Canyon County
Principal Address: RENELLE BRUBAKER STE 204 320 11TH AVE S. NAMPA, ID 83651
Mailing Address: RENELLE BRUBAKER UNIT B 3131 PTARMIGAN PASS STREET KODIAK, ID 99615

Manager

Name Role Address Appointed On
Renelle L Brubaker Manager 320 11TH AVE S., NAMPA, ID 83651 2021-10-13

Agent

Name Role Address
Bethany Gotts Agent 48803 HWY 78, MOUNTAIN HOME, ID 83647

Links between entities

Type:
Headquarter of
Company Number:
10290752
State:
ALASKA

National Provider Identifier

NPI Number:
1417550070
Certification Date:
2020-11-17

Authorized Person:

Name:
MRS. RENELLE LASHAE BRUBAKER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2089086164

Filing

Filing Name Filing Number Filing date
Annual Report 0005976038 2024-11-09
Annual Report 0005524937 2023-12-21
Annual Report 0004990887 2022-11-11
Annual Report 0004445263 2021-10-13
Initial Filing 0004050782 2020-11-03

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State