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LAURA SHOCKLEY COUNSELING, LLC

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Company Details

Name: LAURA SHOCKLEY COUNSELING, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Apr 2014 (11 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 418710
Place of Formation: IDAHO
File Number: 418710
ZIP code: 83709
County: Ada County
Principal Address: 10918 CRUSER DR BOISE, ID 83709
Mailing Address: 10918 W CRUSER DR BOISE, ID 83709-0213

Agent

Name Role Address
LAURA SHOCKLEY Agent 10918 CRUSER DR, BOISE, ID 83709

Manager

Name Role Address Appointed On
Laura S Shockley Manager 10918 W. CRUSER DR., BOISE, ID 83709 2021-03-05

National Provider Identifier

NPI Number:
1437926862
Certification Date:
2023-12-06

Authorized Person:

Name:
CHERI PETERSON
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

Fax:
2089545598

Filing

Filing Name Filing Number Filing date
Annual Report 0006148086 2025-03-08
Amendment to Certificate 0005654449 2024-03-19
Annual Report 0005642788 2024-03-10
Annual Report 0005134730 2023-03-03
Annual Report 0004649273 2022-03-08

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State