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Beachside Counseling, LLC

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Company Details

Name: Beachside Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 May 2021 (4 years ago)
Financial Date End: 31 May 2026
Entity Number: 4261105
Place of Formation: IDAHO
File Number: 761416
ZIP code: 83815
County: Kootenai County
Principal Address: 7765 N ABERCROMBIE CT COEUR D'ALENE, ID 83815
Mailing Address: REBECCA BRADLEY STE 330 1250 W IRONWOOD DR COEUR D ALENE, ID 83814-2682

Agent

Name Role Address
Rebecca R Bradley Agent 1250 IRONWOOD DRIVE, SUITE 330, COEUR D ALENE, ID 83814

Manager

Name Role Address Appointed On
Rebecca Bradley Manager 1250 IRONWOOD DRIVE, COEUR D ALENE, ID 83814 2022-04-05

National Provider Identifier

NPI Number:
1104599331
Certification Date:
2022-10-14

Authorized Person:

Name:
REBECCA BRADLEY
Role:
LICENSED PROFESSIONAL COUNSELOR
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006181843 2025-04-02
Annual Report 0005669176 2024-04-03
Annual Report 0005177260 2023-04-03
Annual Report 0004688037 2022-04-05
Initial Filing 0004261105 2021-05-01

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State