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Riversong Speech and Language, LLC

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Company Details

Name: Riversong Speech and Language, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Nov 2020 (5 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4069142
Place of Formation: IDAHO
File Number: 734216
ZIP code: 83702
County: Ada County
Principal Address: 2313 N 27TH STREET BOISE, ID 83702
Mailing Address: STE 130 345 W BOBWHITE CT BOISE, ID 83706-3968

Agent

Name Role Address
Christine Wallin Agent 345 BOBWHITE CT SUITE 130, BOISE, ID 83706

Manager

Name Role Address Appointed On
Christine Wallin Manager 345 BOBWHITE CT SUITE 130, BOISE, ID 83706 2021-11-04

National Provider Identifier

NPI Number:
1992309496
Certification Date:
2021-05-19

Authorized Person:

Name:
CHRISTINE LEIGH WALLIN
Role:
SPEECH-LANGUAGE PATHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Fax:
2086006898

Filing

Filing Name Filing Number Filing date
Annual Report 0005945399 2024-10-18
Annual Report 0005435091 2023-10-08
Annual Report 0005024698 2022-12-09
Annual Report 0004487004 2021-11-04
Statement of Change of Business Mailing Address 0004440658 2021-10-07

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State