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Haven Therapy LLC

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Company Details

Name: Haven Therapy LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Jun 2022 (3 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 4806106
Place of Formation: IDAHO
File Number: 830213
ZIP code: 83835
County: Kootenai County
Principal Address: 11648 N AVONDALE LOOP HAYDEN, ID 83835
Mailing Address: 11648 N AVONDALE LOOP HAYDEN, ID 83835-9157

Agent

Name Role Address
BETHANY CAMARATA Agent 11648 N AVONDALE LOOP, HAYDEN, ID 83835

Manager

Name Role Address Appointed On
BETHANY CAMARATA Manager 11648 N AVONDALE LP, HAYDEN, ID 83835 2023-05-25

National Provider Identifier

NPI Number:
1598502460
Certification Date:
2024-07-09

Authorized Person:

Name:
BETHANY CAMARATA
Role:
OWNER/CLINICIAN
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006270146 2025-05-27
Annual Report 0005721554 2024-05-03
Annual Report 0005251023 2023-05-25
Initial Filing 0004806106 2022-06-30

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Date of last update: 10 Jul 2025

Sources: Idaho Secretary of State