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Shelby Spangler Counseling, LLC

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Company Details

Name: Shelby Spangler Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Jan 2022 (4 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4553671
Place of Formation: IDAHO
File Number: 798562
ZIP code: 83714
County: Ada County
Principal Address: SHELBY SPANGLER STE 104 7950 N. HORSESHOE BEND RD. BOISE, ID 83714
Mailing Address: SHELBY SPANGLER STE 204 320 11TH AVE S NAMPA, ID 83651-0745

Agent

Name Role Address
Shelby A Spangler Agent 320 11TH AVE S, STE 204, SHELBY SPANGLER, NAMPA, ID 83651-0745

Manager

Name Role Address Appointed On
Shelby Spangler Counseling Ser Manager 419 N. NEBULA AVE, STAR, ID 83669 2023-02-07

National Provider Identifier

NPI Number:
1881425098
Certification Date:
2024-08-09

Authorized Person:

Name:
SHELBY ANN SPANGLER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006130440 2025-02-27
Annual Report 0005547041 2024-01-07
Annual Report 0005099670 2023-02-07
Initial Filing 0004553671 2022-01-04

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State