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Edward Davis Counseling, LLC

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Company Details

Name: Edward Davis Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Aug 2022 (3 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 4870854
Place of Formation: IDAHO
File Number: 838162
ZIP code: 83636
County: Gem County
Principal Address: EDWARD DAVIS 8401 W IDAHO BLVD LETHA, ID 83636
Mailing Address: EDWARD DAVIS 217 W MAIN ST YOUNGSVILLE, PA 16371-1436

Agent

Name Role Address
Eliasha Weiner Davis Agent 8401 W IDAHO BLVD, LETHA, ID 83636

Manager

Name Role Address Appointed On
Eliasha J Weiner Davis Manager 8401 W IDAHO BLVD, LETHA, ID 83636 2023-08-20
Edward Davis Manager 8401 W IDAHO BLVD, LETHA, ID 83636 2023-07-03

National Provider Identifier

NPI Number:
1942042114
Certification Date:
2024-06-10

Authorized Person:

Name:
EDWARD DAVIS
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0005996461 2024-11-30
Annual Report 0005820616 2024-07-15
Annual Report Amendment 0005367504 2023-08-20
Annual Report 0005299302 2023-07-03
Initial Filing 0004870854 2022-08-26

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Date of last update: 25 Mar 2025

Sources: Idaho Secretary of State