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STACEY TITUS PLLC
Company Details
Name: |
STACEY TITUS PLLC |
Jurisdiction: |
Idaho |
Legal type: |
Limited Liability Company (D) |
Status: |
Active-Existing
|
Date of registration: |
24 May 2016 (9 years ago)
|
Financial Date End: |
31 May 2026 |
Entity Number: |
506576 |
Place of Formation: |
IDAHO |
File Number: |
506576 |
ZIP code: |
83713
|
County: |
Ada County |
Principal Address: |
11868 W GUNSMOKE DR BOISE, ID 83713 |
Mailing Address: |
11868 W GUNSMOKE DR BOISE, ID 83713-4753 |
Agent
Name |
Role |
Address |
STACEY TITUS
|
Agent
|
11868 W GUNSMOKE DR, BOISE, ID 83713
|
Manager
Name |
Role |
Address |
Appointed On |
Stacey Titus
|
Manager
|
11868 W. GUNSMOKE DR., BOISE, ID 83713
|
2021-05-05
|
National Provider Identifier
Certification Date:
2020-04-20
Authorized Person:
Role:
LICENSED CLINICAL SOCIAL WORKER
Taxonomy:
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Contacts:
This company hasn't received any reviews.
Date of last update: 02 Jul 2025
Sources:
Idaho Secretary of State