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Clear Mind Counseling LLC

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Company Details

Name: Clear Mind Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Nov 2022 (3 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 5002445
Place of Formation: IDAHO
File Number: 851580
ZIP code: 83854
County: Kootenai County
Principal Address: STE R 784 S. CLEARWATER LOOP POST FALLS, ID 83854
Mailing Address: STE R 784 S CLEARWATER LOOP POST FALLS, ID 83854-9599

Agent

Name Role Address
REGISTERED AGENTS INC Agent 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854

Member

Name Role Address Appointed On
Tyson Durbin Member 1408 W TUALATIN DRIVE, POST FALLS, ID 83854 2023-11-10

National Provider Identifier

NPI Number:
1982439683
Certification Date:
2024-09-03

Authorized Person:

Name:
TYSON DURBIN
Role:
OWNER/THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
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 0005928658 2024-10-04
Annual Report 0005475573 2023-11-10
Initial Filing 0005002445 2022-11-29

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Date of last update: 25 Jul 2025

Sources: Idaho Secretary of State