Search icon

Cameron Staley PHD LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Cameron Staley PHD LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Nov 2021 (4 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4488632
Place of Formation: IDAHO
File Number: 789715
ZIP code: 83202
County: Bannock County
Principal Address: 5026 CASSIE DR CHUBBUCK, ID 83202
Mailing Address: 5026 CASSIE DR CHUBBUCK, ID 83202-5252

Member

Name Role Address Appointed On
Cameron Staley Member 5026 CASSIE DR, CHUBBUCK, ID 83202 2022-11-07

Agent

Name Role Address
Cameron Staley Agent 5026 CASSIE DRIVE, CHUBBUCK, ID 83202

National Provider Identifier

NPI Number:
1295589935
Certification Date:
2024-04-17

Authorized Person:

Name:
DR. CAMERON STALEY
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Change of Registered Office/Agent/Both (by Entity) 0006075939 2025-01-21
Annual Report 0005986465 2024-11-18
Annual Report 0005474996 2023-11-09
Annual Report 0004984259 2022-11-07
Initial Filing 0004488632 2021-11-05

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State