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Antler and Moss Counseling LLC

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Company Details

Name: Antler and Moss Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Oct 2022 (3 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4941631
Place of Formation: IDAHO
File Number: 844209
ZIP code: 83201
County: Bannock County
Principal Address: 756 ASH POCATELLO, ID 83201
Mailing Address: 6 TOTTERDELL CT ORINDA, CA 94563

Agent

Name Role Address
Jo Anna L Shotiveyaratana Agent 756 ASH, POCATELLO, ID 83201

Manager

Name Role Address Appointed On
Jo Anna L Shotiveyaratana Manager 6 TOTTERDELL CT, ORINDA, CA 94563 2023-09-04

National Provider Identifier

NPI Number:
1013726579
Certification Date:
2024-12-30

Authorized Person:

Name:
JO ANNA SHOTIVEYARATANA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005877799 2024-09-03
Annual Report 0005380243 2023-09-04
Initial Filing 0004941631 2022-10-06

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Date of last update: 19 Jun 2025

Sources: Idaho Secretary of State