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Primary Behavioral Health Services LLC.

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Company Details

Name: Primary Behavioral Health Services LLC.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Mar 2021 (4 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4221951
Place of Formation: IDAHO
File Number: 755597
ZIP code: 83642
County: Ada County
Principal Address: 4248 E WESTPORT CT MERIDIAN, ID 83642
Mailing Address: STE 150 8620 W EMERALD ST BOISE, ID 83704-4839

Agent

Name Role Address
Chrisean Christopher Agent 8620 W EMERALD ST, 150, CHRIS CHRISTOPHER, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
Chrisean Christopher Manager 4248 E WESTPORT CT, MERIDIAN, ID 83642 2024-02-14 2024-02-14
Kristi Olson Manager 2097 W. FIELDSTREAM DR., MERIDIAN, ID 83646 2021-04-20 No data

National Provider Identifier

NPI Number:
1053053736
Certification Date:
2022-05-11

Authorized Person:

Name:
KRISTI OLSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
862992322
Plan Year:
2022
Number Of Participants:
32
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006110746 2025-02-16
Annual Report 0005604195 2024-02-14
Change of Registered Office/Agent/Both (by Entity) 0005454406 2023-11-01
Statement of Change of Business Mailing Address 0005454404 2023-11-01
Annual Report 0005191822 2023-04-08

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State