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Healthy Mind Behavioral Health Clinic LLC

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Company Details

Name: Healthy Mind Behavioral Health Clinic LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Dec 2021 (4 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 4542678
Place of Formation: IDAHO
File Number: 797280
ZIP code: 83709
County: Ada County
Principal Address: 9376 W HEARTHSIDE DRIVE BOISE, ID 83709
Mailing Address: 9492 W FAIRVIEW AVE BOISE, ID 83704-8101

Agent

Name Role Address
Christopher Gakwa Agent 9492 W FAIRVIEW AVE, BOISE, ID 83704-8101

Manager

Name Role Address Appointed On
Christopher Gakwa Manager 9376 W HEARTHSIDE DRIVE, BOISE, ID 83709 2022-12-21

National Provider Identifier

NPI Number:
1710766159
Certification Date:
2024-09-04

Authorized Person:

Name:
CHRISTOPHER MUNGA GAKWA
Role:
PMHNP
Phone:

Taxonomy:

Selected Taxonomy:
364SP0810X - Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Is Primary:
Yes

Contacts:

Fax:
2082133659

Filing

Filing Name Filing Number Filing date
Annual Report 0005971706 2024-11-07
Change of Registered Office/Agent/Both (by Entity) 0005869037 2024-08-28
Statement of Change of Business Mailing Address 0005869025 2024-08-23
Annual Report 0005510619 2023-12-13
Statement of Change of Business Mailing Address 0005071874 2023-01-16

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Date of last update: 24 Jul 2025

Sources: Idaho Secretary of State