| Name: | High Tide Psychiatry, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 17 Dec 2021 (3 years ago) |
| Financial Date End: | 31 Dec 2024 |
| Entity Number: | 4534773 |
| Place of Formation: | IDAHO |
| File Number: | 796154 |
| ZIP code: | 83402 |
| County: | Bonneville County |
| Principal Address: | STE 4 1500 PANCHERI DRIVE IDAHO FALLS, ID 83402 |
| Mailing Address: | STE 4 1500 PANCHERI DR IDAHO FALLS, ID 83402-3212 |
| Name | Role | Address |
|---|---|---|
| Amber J Van Sickle-Birch | Agent | 1500 PANCHERI DRIVE, STE 4, IDAHO FALLS, ID 83402 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Amber J Van Sickle-Birch | Manager | 1500 PANCHERI DRIVE, IDAHO FALLS, ID 83402 | 2022-11-03 | 2023-02-16 |
| Lemon Reef, PLLC | Manager | 1500 PANCHERI DR, IDAHO FALLS, ID 83402 | 2024-01-17 | No data |
| Mountain High Mental Health, PLLC | Manager | 1500 PANCHERI DR., IDAHO FALLS, ID 83402 | 2023-02-16 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005564834 | 2024-01-17 |
| Amendment to Certificate | 0005118099 | 2023-02-16 |
| Amendment to Certificate | 0005054254 | 2023-01-05 |
| Annual Report | 0004971596 | 2022-11-03 |
| Initial Filing | 0004534773 | 2021-12-17 |
Date of last update: 05 Jan 2025
Sources: Idaho Secretary of State
