Search icon

Cultivate Counseling, LLC

Company Details

Name: Cultivate Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Aug 2021 (4 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 4392086
Place of Formation: IDAHO
File Number: 778926
ZIP code: 83709
County: Ada County
Principal Address: 10421 W. BROWNSTONE DRIVE BOISE, ID 83709
Mailing Address: MICHAEL WILSON 10421 W BROWNSTONE DR BOISE, ID 83709-5612

Agent

Name Role Address
Michael C Wilson Agent 10421 W BROWNSTONE DRIVE, BOISE, ID 83709

Member

Name Role Address Appointed On
Jennifer Wilson Member 10421 W. BROWNSTONE DRIVE, BOISE, ID 83709 2024-08-03

Manager

Name Role Address Appointed On
Michael Chad Wilson Manager 10421 W. BROWNSTONE DRIVE, BOISE, ID 83709 2022-09-09

National Provider Identifier

NPI Number:
1659048783
Certification Date:
2021-08-26

Authorized Person:

Name:
MR. MICHAEL CHAD WILSON
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005838101 2024-08-03
Annual Report 0005373790 2023-08-29
Annual Report 0004891677 2022-09-09
Initial Filing 0004392086 2021-08-24

Date of last update: 20 May 2025

Sources: Idaho Secretary of State