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Complete Embodiment Wellness PLLC

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Company Details

Name: Complete Embodiment Wellness PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 09 Dec 2022 (3 years ago)
Financial Date End: 31 Dec 2023
Date dissolved: 15 Mar 2024
Entity Number: 5025725
Place of Formation: IDAHO
File Number: 853201
ZIP code: 83704
County: Ada County
Principal Address: BRITTANY AITCHISON 7683 W EMERALD ST BOISE, ID 83704
Mailing Address: BRITTANY AITCHISON 7683 W EMERALD ST BOISE, ID 83704-9018

Agent

Name Role Address
Brittany Louise Aitchison Agent 7683 W EMERALD ST, BOISE, ID 83704

Manager

Name Role Address Appointed On
Brittany Louise Aitchison Manager 4401 W CASTLEBAR DR., BOISE, ID 83703 2022-12-13

National Provider Identifier

NPI Number:
1932811296
Certification Date:
2023-05-16

Authorized Person:

Name:
TONI BENNETT
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2089473465

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005649398 2024-03-15
Amendment to Certificate 0005028333 2022-12-13
Initial Filing 0005025725 2022-12-09

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Date of last update: 19 Jun 2025

Sources: Idaho Secretary of State