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Lilac Counseling, LLC

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Company Details

Name: Lilac Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Jun 2022 (3 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 4762734
Place of Formation: IDAHO
File Number: 825281
ZIP code: 83651
County: Canyon County
Principal Address: 2205 W. ORCHARD AVE NAMPA, ID 83651
Mailing Address: 2205 W ORCHARD AVE NAMPA, ID 83651-7533

Agent

Name Role Address
Brandie C DeGroat Agent 2205 W. ORCHARD AVE, NAMPA, ID 83651

Manager

Name Role Address Appointed On
Brandie C DeGroat Manager 2205 W. ORCHARD AVE, NAMPA, ID 83651 2023-05-03

National Provider Identifier

NPI Number:
1720701485
Certification Date:
2022-09-16

Authorized Person:

Name:
BRANDIE CHRISTINE DEGROAT
Role:
BUSINESS OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006240674 2025-05-06
Annual Report 0005717675 2024-05-03
Annual Report 0005217893 2023-05-03
Initial Filing 0004762734 2022-06-01

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State