| Name: | Headwaters Psychiatric Solutions, LLC. |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 12 Jul 2021 (3 years ago) |
| Financial Date End: | 31 Jul 2023 |
| Date dissolved: | 04 Oct 2023 |
| Entity Number: | 4344867 |
| Place of Formation: | IDAHO |
| File Number: | 772138 |
| ZIP code: | 83440 |
| County: | Madison County |
| Principal Address: | HEADWATERS PSYCHIATRIC SOLUTIONS, LLC. B 1069 SUMMER DRIVE REXBURG, ID 83440 |
| Mailing Address: | HEADWATERS PSYCHIATRIC SOLUTIONS PO BOX 766 ASHTON, ID 83420-0766 |
| Name | Role | Address |
|---|---|---|
| Jeffrey C Anderson | Agent | 4445 GOLDEN EAGLE DR, ASHTON, ID 83420 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Jeffrey C Anderson | Manager | 4445 GOLDEN EAGLE DR, ASHTON, ID 83420 | 2022-10-06 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005427321 | 2023-10-04 |
| Application for Reinstatement | 0004942256 | 2022-10-06 |
| Dissolution/Revocation - Administrative | 0004939054 | 2022-10-05 |
| Initial Filing | 0004344867 | 2021-07-12 |
Date of last update: 05 Jan 2025
Sources: Idaho Secretary of State
