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Confluence Health Psychology PLLC

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Company Details

Name: Confluence Health Psychology PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Aug 2021 (4 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 4392660
Place of Formation: IDAHO
File Number: 779049
ZIP code: 83702
County: Ada County
Principal Address: KYLE DAVIS 1775 W. STATE ST #343 BOISE, ID 83702
Mailing Address: KYLE DAVIS 1775 W STATE ST # 343 BOISE, ID 83702-3924

Manager

Name Role Address Appointed On
Kyle Davis Manager 1775 W STATE ST # 343, BOISE, ID 83702-3924 2022-07-12

Agent

Name Role Address
NORTHWEST REGISTERED AGENT LLC Agent 784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1639825706
Certification Date:
2022-02-26

Authorized Person:

Name:
DR. KYLE DAVIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086006916

Filing

Filing Name Filing Number Filing date
Annual Report 0005798963 2024-07-03
Annual Report 0005335009 2023-07-31
Annual Report 0004820141 2022-07-12
Initial Filing 0004392660 2021-08-25

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Date of last update: 20 May 2025

Sources: Idaho Secretary of State