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Glade Mental Health PLLC
Company Details
| Name: |
Glade Mental Health PLLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
29 May 2022 (3 years ago)
|
| Financial Date End: |
31 May 2025 |
| Entity Number: |
4760190 |
| Place of Formation: |
IDAHO |
| File Number: |
824850 |
| ZIP code: |
83301
|
| County: |
Twin Falls County |
| Principal Address: |
KRISTAN FRENCH SUITE 201 139 RIVER VISTA PLACE TWIN FALLS, ID 83301 |
| Mailing Address: |
KRISTAN FRENCH 493 EASTLAND DR TWIN FALLS, ID 83301 |
Agent
| Name |
Role |
Address |
|
Kristan Nichole French
|
Agent
|
493 EASTLAND DR, TWIN FALLS, ID 83301
|
Manager
| Name |
Role |
Address |
Appointed On |
|
Kristan Nichole French
|
Manager
|
3883 N 3570 E, KIMBERLY, ID 83341
|
2022-06-01
|
National Provider Identifier
Certification Date:
2022-06-04
Authorized Person:
Name:
MRS. KRISTAN NICHOLE FRENCH
Taxonomy:
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Contacts:
This company hasn't received any reviews.
Date of last update: 01 Mar 2025
Sources:
Idaho Secretary of State
