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Yellow Daisy, PLLC

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Company Details

Name: Yellow Daisy, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Feb 2021 (4 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 4180256
Place of Formation: IDAHO
File Number: 748924
ZIP code: 83401
County: Bonneville County
Principal Address: 1291 TRAPPERS RIDGE AMMON, ID 83401
Mailing Address: 1291 TRAPPERS RDG AMMON, ID 83401-1393

Agent

Name Role Address
Jared Harris Agent 1291 TRAPPERS RIDGE, AMMON, ID 83401

Manager

Name Role Address Appointed On
Anna E Blonquist Manager 1291 TRAPPERS RIDGE, AMMON, ID 83401 2023-05-30

Member

Name Role Address Appointed On Resigned On
Anna Blonquist Member 303 S PARK AVE, FIRTH, ID 83236 2022-01-07 2023-05-30

National Provider Identifier

NPI Number:
1902491467
Certification Date:
2021-03-10

Authorized Person:

Name:
ANNA BLONQUIST
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006071348 2025-01-15
Statement of Change of Business Mailing Address 0005891709 2024-09-06
Amendment to Certificate 0005868768 2024-08-26
Change of Registered Office/Agent/Both (by Entity) 0005868766 2024-08-26
Annual Report 0005621351 2024-03-01

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Date of last update: 15 Apr 2025

Sources: Idaho Secretary of State