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Daisy Hope Behavioral Services LLC

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Company Details

Name: Daisy Hope Behavioral Services LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 21 Nov 2021 (4 years ago)
Financial Date End: 30 Nov 2022
Date dissolved: 03 Nov 2022
Entity Number: 4503269
Place of Formation: IDAHO
File Number: 792102
ZIP code: 83815
County: Kootenai County
Principal Address: 3254 N 10TH STREET COEUR D ALENE, ID 83815
Mailing Address: PO BOX 179 COEUR D ALENE, ID 83816-0179

Agent

Name Role Address
Kimberly Coppa Agent 3245 N 10TH ST, COEUR D ALENE, ID 83815

National Provider Identifier

NPI Number:
1558029322
Certification Date:
2021-11-29

Authorized Person:

Name:
KIMBERLY COPPA
Role:
AGENCY DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004971922 2022-11-03
Initial Filing 0004503269 2021-11-21

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State