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Overcomer Christian Counseling, PLLC

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Company Details

Name: Overcomer Christian Counseling, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Aug 2021 (4 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 4377348
Place of Formation: IDAHO
File Number: 776792
ZIP code: 83501
County: Nez Perce County
Principal Address: 2140 13TH STREET LEWISTON, ID 83501
Mailing Address: 2140 13TH ST LEWISTON, ID 83501-3947

Member

Name Role Address Appointed On
Brandon W. Clark Member 2140 13TH STREET, LEWISTON, ID 83501 2022-08-03

Agent

Name Role Address
Brandon Clark Agent 2140 13TH STREET, LEWISTON, ID 83501

National Provider Identifier

NPI Number:
1659030716
Certification Date:
2021-12-15

Authorized Person:

Name:
MR. BRANDON CLARK
Role:
OWNER/THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
2087468685

Filing

Filing Name Filing Number Filing date
Annual Report 0006366556 2025-07-21
Annual Report 0005818728 2024-07-12
Annual Report 0005301838 2023-07-03
Annual Report 0004839568 2022-08-03
Initial Filing 0004377348 2021-08-10

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Date of last update: 19 Aug 2025

Sources: Idaho Secretary of State