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DAVID A. TEED, CSWP, PA

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Company Details

Name: DAVID A. TEED, CSWP, PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 08 May 2001 (24 years ago)
Financial Date End: 31 May 2023
Date dissolved: 04 Aug 2023
Entity Number: 423817
Place of Formation: IDAHO
File Number: 423817
ZIP code: 83702
County: Ada County
Mailing Address: DAVID A. TEED 1407 N 13TH ST BOISE, ID 83702-3531

Agent

Name Role Address
DAVID A TEED Agent 1407 N 13TH ST, BOISE, ID 83702

President

Name Role Address Appointed On
DAVID A. TEED President 1407 N. 13TH STREET, BOISE, ID 83702 2021-04-03

National Provider Identifier

NPI Number:
1487370052
Certification Date:
2022-10-16

Authorized Person:

Name:
MR. DAVID ANTHONY TEED
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2085141534

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005351061 2023-08-04
Annual Report 0004722907 2022-05-03
Annual Report 0004227118 2021-04-03
Annual Report 0003833157 2020-04-03
Annual Report 0003488867 2019-04-23

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State