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Sage and Pine Counseling, LLC

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Company Details

Name: Sage and Pine Counseling, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Oct 2022 (3 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4948489
Place of Formation: IDAHO
File Number: 844697
ZIP code: 83814
County: Kootenai County
Principal Address: SUITE 103 1042 W MILL AVENUE COEUR D ALENE, ID 83814
Mailing Address: STE 103 1042 W MILL AVE COEUR D ALENE, ID 83814-2489

Agent

Name Role Address
Karissa Kimes Agent 1042 W MILL AVENUE, SUITE 103, COEUR D ALENE, ID 83814

Manager

Name Role Address Appointed On
Karissa Kimes Manager 1042 W MILL AVE, COEUR D ALENE, ID 83814 2023-09-28

National Provider Identifier

NPI Number:
1558049155
Certification Date:
2023-07-05

Authorized Person:

Name:
KARISSA KIMES
Role:
OWNER AND PRACTITIONER
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 0005935882 2024-10-10
Annual Report 0005413281 2023-09-28
Initial Filing 0004948489 2022-10-10

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Date of last update: 19 Jun 2025

Sources: Idaho Secretary of State