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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 (4 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 4812 W EDSON 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: 19 Aug 2025

Sources: Idaho Secretary of State