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Practice Partners, LLC

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Company Details

Name: Practice Partners, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Apr 2021 (4 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 4257729
Place of Formation: IDAHO
File Number: 760711
Principal Address: ALLAN BRANDVEIN 13789 N ORCA TRAIL HAYDEN, ID 83835
Mailing Address: ALLAN BRANDVEIN 13789 N ORCA TRL HAYDEN, ID 83835-7638

Agent

Name Role Address
Allan G Brandvein Agent 13789 N ORCA TRAIL, HAYDEN, ID 83835

Member

Name Role Address Appointed On Resigned On
Allan Brandvein Member 13789 N ORCA TRAIL, HAYDEN, ID 83835 2022-05-04 No data
Abigail Pederson Member 13789 N ORCA TRAIL, HAYDEN, ID 83835 2024-03-01 2024-03-01

National Provider Identifier

NPI Number:
1396057303

Authorized Person:

Name:
MRS. TOMI N SMITH
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006135162 2025-03-03
Annual Report 0005621575 2024-03-01
Amendment to Certificate 0005285380 2023-06-15
Annual Report 0005156895 2023-03-15
Annual Report 0004733031 2022-05-04

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State