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Holloway Counseling, LLC

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Company Details

Name: Holloway Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Feb 2022 (4 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 4621973
Place of Formation: IDAHO
File Number: 807781
ZIP code: 83716
County: Elmore County
Mailing Address: DEVON HOLLOWAY 16 TAMARACK TRL BOISE, ID 83716-3184

Agent

Name Role Address
Devon C Holloway Agent 16 TAMARACK TRL, BOISE, ID 83716

Manager

Name Role Address Appointed On
Devon C Holloway Manager 16 TAMARACK TRL, BOISE, ID 83716 2023-03-13

National Provider Identifier

NPI Number:
1316626070
Certification Date:
2023-07-11

Authorized Person:

Name:
DEVON C HOLLOWAY
Role:
OWNER/THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006253026 2025-05-13
Dissolution/Revocation - Administrative 0006251147 2025-05-13
Annual Report 0005587565 2024-02-06
Annual Report 0005153958 2023-03-13
Initial Filing 0004621973 2022-02-24

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Date of last update: 19 Aug 2025

Sources: Idaho Secretary of State