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Aspire Integrative Mental Health, PLLC

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Company Details

Name: Aspire Integrative Mental Health, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 19 Nov 2020 (5 years ago)
Financial Date End: 30 Nov 2021
Date dissolved: 01 Oct 2021
Entity Number: 4071753
Place of Formation: IDAHO
File Number: 734778
ZIP code: 83646
County: Ada County
Principal Address: CYNTHIA MEDRANO 3142 W BELLTOWER DR MERIDIAN, ID 83646
Mailing Address: CYNTHIA MEDRANO 3142 W BELLTOWER DR MERIDIAN, ID 83646-4882

Agent

Name Role Address
Cynthia G Medrano Agent 3142 W BELLTOWER DR, MERIDIAN, ID 83646

National Provider Identifier

NPI Number:
1184229304
Certification Date:
2020-12-03

Authorized Person:

Name:
CYNTHIA G MEDRANO
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004432746 2021-10-01
Initial Filing 0004071753 2020-11-19

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State