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MONTGOMERY COUNSELING CENTER, INC.

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Company Details

Name: MONTGOMERY COUNSELING CENTER, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Mar 2005 (20 years ago)
Financial Date End: 31 Mar 2022
Date dissolved: 24 Jun 2022
Entity Number: 484915
Place of Formation: IDAHO
File Number: 484915
ZIP code: 83686
County: Canyon County
Mailing Address: 323 12TH AVE RD NAMPA, ID 83686-5014

President

Name Role Address Appointed On
Janna Miller President 3451 E. COPPERPOINT DRIVE, MERDIAIN, ID 83642 2021-03-03

Agent

Name Role Address
JANNA MILLER Agent 3451 E COPPER POINT, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1255412714

Authorized Person:

Name:
PHYLLIS MONTGOMERY
Role:
LCSW
Phone:

Taxonomy:

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

Contacts:

Fax:
2084615452

Form 5500 Series

Employer Identification Number (EIN):
202727934
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
2
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004793148 2022-06-24
Annual Report 0004189449 2021-03-03
Annual Report 0003807001 2020-03-09
Change of Registered Office/Agent/Both (by Entity) 0003648648 2019-10-16
Annual Report 0003489969 2019-04-23

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State