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Pathway Counseling Inc

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Company Details

Name: Pathway Counseling Inc
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Mar 2021 (4 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4221774
Place of Formation: IDAHO
File Number: 755559
ZIP code: 83201
County: Bannock County
Mailing Address: TANDICE PETERSON STE 330 1777 E CLARK ST POCATELLO, ID 83201-3357

Agent

Name Role Address
Tandice Peterson Agent 5021 CAMDEN STREET, CHUBBUCK, ID 83202

Incorporator

Name Role Address Appointed On
Tandice Peterson Incorporator 5021 CAMDEN ST, CHUBBUCK, ID 83202 2022-07-05

Director

Name Role Address Appointed On
Tandice Peterson Director 5021 CAMDEN ST, CHUBBUCK, ID 83202 2023-03-06

Member

Name Role Address Appointed On Resigned On
Sean Peterson Member 5021 CAMDEN STREET, CHUBBUCK, ID 83202 2022-02-06 2022-07-05

National Provider Identifier

NPI Number:
1578338778
Certification Date:
2023-11-17

Authorized Person:

Name:
TANDICE PETERSON
Role:
PROVIDER/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2084275895

Filing

Filing Name Filing Number Filing date
Annual Report 0006197598 2025-04-07
Annual Report 0005583014 2024-02-04
Annual Report 0005139312 2023-03-06
Statement of Conversion 0004797297 2022-07-05
Annual Report 0004597782 2022-02-06

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State