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Solace Counseling LLC

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Company Details

Name: Solace Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Apr 2021 (4 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 4255167
Place of Formation: IDAHO
File Number: 760112
ZIP code: 83221
County: Bingham County
Principal Address: 1284 BLUEBERRY TRAIL BLACKFOOT, ID 83221
Mailing Address: STE 4 725 JENSEN GROVE DR BLACKFOOT, ID 83221-1636

Agent

Name Role Address
Nicole Dixon Agent 1284 BLUEBERRY TRAIL, BLACKFOOT, ID 83221

Member

Name Role Address Appointed On
Nicole Dixon Member 1284 BLUEBERRY TRL, BLACKFOOT, ID 83221-2926 2022-04-03

National Provider Identifier

NPI Number:
1578137980
Certification Date:
2021-08-04

Authorized Person:

Name:
NICOLE DIXON
Role:
OWNER/MENTAL HEALTH THERAPIST
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:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2085503287

Filing

Filing Name Filing Number Filing date
Annual Report 0006139822 2025-03-03
Annual Report 0005657409 2024-03-22
Statement of Change of Business Mailing Address 0005222173 2023-05-03
Annual Report 0005174062 2023-04-02
Annual Report 0004683660 2022-04-03

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Date of last update: 18 Aug 2025

Sources: Idaho Secretary of State