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Nicole Berenger Counseling LLC

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Company Details

Name: Nicole Berenger Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Jan 2022 (3 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4560633
Place of Formation: IDAHO
File Number: 799595
ZIP code: 83705
County: Ada County
Principal Address: 4812 W EDSON ST. BOISE, ID 83705
Mailing Address: 4346 W ROSE HILL ST # C BOISE, ID 83705-5193

Agent

Name Role Address
Nicole Berenger Agent 4346 ROSE HILL ST, C, BOISE, ID 83705

Manager

Name Role Address Appointed On
Nicole Berenger Manager 4346 ROSE HILL ST, BOISE, ID 83705 2023-01-30

National Provider Identifier

NPI Number:
1336892686
Certification Date:
2022-10-21

Authorized Person:

Name:
NICOLE BERENGER
Role:
LCPC
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

Fax:
2082030942

Filing

Filing Name Filing Number Filing date
Annual Report Amendment 0006059866 2025-01-09
Annual Report 0006015401 2024-12-06
Annual Report 0005499246 2023-12-04
Annual Report 0005085425 2023-01-30
Initial Filing 0004560633 2022-01-10

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Date of last update: 17 Jun 2025

Sources: Idaho Secretary of State