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Mountain West Behavioral Health, LLC

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Company Details

Name: Mountain West Behavioral Health, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Nov 2020 (5 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4065809
Place of Formation: IDAHO
File Number: 733621
ZIP code: 83334
County: Twin Falls County
Principal Address: 331 2ND ST W HANSEN, ID 83334
Mailing Address: 222 SHOSHONE ST E TWIN FALLS, ID 83301-6105

Agent

Name Role Address
Alexis Pearson Agent 222 SHOSHONE ST E, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
Alexis Pearson Manager 222 SHOSHONE ST E, TWIN FALLS, ID 83301 2021-11-16

National Provider Identifier

NPI Number:
1841885266
Certification Date:
2021-03-08

Authorized Person:

Name:
ALEXIS PEARSON
Role:
OWNER/CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005922209 2024-10-03
Annual Report 0005459346 2023-11-03
Annual Report 0004998377 2022-11-21
Statement of Change of Business Mailing Address 0004762742 2022-06-01
Annual Report 0004498818 2021-11-16

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State