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Renew Therapy LLC

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Company Details

Name: Renew Therapy LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Sep 2021 (4 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 4398188
Place of Formation: IDAHO
File Number: 780158
ZIP code: 83706
County: Ada County
Principal Address: SUITE 360 H 3350 AMERICANA TERRACE BLVD BOISE, ID 83706
Mailing Address: 1322 W VERBENA DR MERIDIAN, ID 83642-1238

Agent

Name Role Address
REGISTERED AGENTS INC Agent 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854

Member

Name Role Address Appointed On
Joshua Randall Grade Member 1322 WEST VERBENA DRIVE, MERIDIAN, ID 83642-1238 2022-02-10

National Provider Identifier

NPI Number:
1235808528
Certification Date:
2021-09-09

Authorized Person:

Name:
JOSHUA RANDALL GRADE
Role:
OWNER/ THERAPIST
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 0005837556 2024-08-03
Annual Report 0005363601 2023-08-15
Annual Report Amendment 0004844759 2022-08-04
Annual Report 0004838597 2022-08-03
Amendment to Certificate 0004603439 2022-02-10

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State