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Peaceful Mind Psychiatry LLC

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Company Details

Name: Peaceful Mind Psychiatry LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Jul 2022 (3 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 4809304
Place of Formation: IDAHO
File Number: 830600
ZIP code: 83706
County: Ada County
Principal Address: 2594 S. SWALLOWTAIL LANE BOISE, ID 83706
Mailing Address: 2594 S SWALLOWTAIL LN BOISE, ID 83706-6131

Agent

Name Role Address
Cassi Shelly Agent 2594 S SWALLOWTAIL LANE, BOISE, ID 83706

Manager

Name Role Address Appointed On
Cassi Shelly Manager 2594 S SWALLOWTAIL LN, BOISE, ID 83706-6131 2023-07-13

National Provider Identifier

NPI Number:
1023742533
Certification Date:
2022-07-18

Authorized Person:

Name:
CASSI SHELLY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005865236 2024-08-19
Annual Report 0005321978 2023-07-13
Initial Filing 0004809304 2022-07-08

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Date of last update: 10 Jul 2025

Sources: Idaho Secretary of State