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Issaura Potter, LLC

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Company Details

Name: Issaura Potter, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 01 Dec 2022 (3 years ago)
Financial Date End: 31 Dec 2024
Date dissolved: 25 Mar 2025
Entity Number: 5005790
Place of Formation: IDAHO
File Number: 852119
ZIP code: 83709
County: Ada County
Principal Address: STE 101 6003 W OVERLAND RD BOISE, ID 83709-3075
Mailing Address: 2268 S ELDERBERRY PL BOISE, ID 83706-4492

Manager

Name Role Address Appointed On
ISSAURA POTTER Manager 2268 S ELDERBERRY PL, BOISE, ID 83706 2024-01-14

Agent

Name Role Address
ISSAURA POTTER Agent 2268 S ELDERBERRY PLACE, BOISE, ID 83706

National Provider Identifier

NPI Number:
1235837709
Certification Date:
2023-02-23

Authorized Person:

Name:
ISSA POTTER
Role:
LICENSED PROFESSIONAL COUNSELOR
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006170664 2025-03-25
Annual Report 0005561665 2024-01-14
Initial Filing 0005005790 2022-12-01

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State