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PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION

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Company Details

Name: PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 24 Apr 2006 (19 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 504685
Place of Formation: IDAHO
File Number: 504685
ZIP code: 83404
County: Bonneville County
Mailing Address: STE 220 2539 CHANNING WAY IDAHO FALLS, ID 83404-7558

Agent

Name Role Address
TAMARA PETTINGILL Agent 1302 EAST 17TH ST, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On Resigned On
TAMARA PETTINGILL President 1272 SO WOODRUFF, IDAHO FALLS, ID 83404 2024-03-25 2024-03-25

Secretary

Name Role Address Appointed On
ADELLE L CLAWSON Secretary 3330 STONEHAVEN DR., IDAHO FALLS, ID 83406 2021-03-23

National Provider Identifier

NPI Number:
1891919890
Certification Date:
2022-06-30

Authorized Person:

Name:
MS. TAMARA K. PETTINGILL
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2085426272

Filing

Filing Name Filing Number Filing date
Annual Report 0006174803 2025-03-26
Annual Report 0005658795 2024-03-25
Annual Report 0005160976 2023-03-20
Annual Report 0004651185 2022-03-09
Annual Report 0004216955 2021-03-23

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Date of last update: 06 Jun 2025

Sources: Idaho Secretary of State