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Awakenings Mental Health PLLC

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Company Details

Name: Awakenings Mental Health PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 May 2023 (2 years ago)
Financial Date End: 31 May 2026
Entity Number: 5251248
Place of Formation: IDAHO
File Number: 880972
ZIP code: 83703
County: Ada County
Principal Address: OFFICE 104 6126 W STATE ST BOISE, ID 83703
Mailing Address: 6126 W STATE ST OFC 104 BOISE, ID 83703-2741

Agent

Name Role Address
Talia Sierra Agent 6126 W STATE ST, OFFICE 104, BOISE, ID 83703

Manager

Name Role Address Appointed On
Heidi Brown Manager 6126 W STATE ST, BOISE, ID 83703 2024-04-03
Talia Sierra Manager 6126 W STATE ST, BOISE, ID 83703 2024-04-03

National Provider Identifier

NPI Number:
1679257430
Certification Date:
2024-03-01

Authorized Person:

Name:
DR. TALIA SIERRA
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
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 0006189764 2025-04-04
Annual Report 0005667316 2024-04-03
Initial Filing 0005251248 2023-05-25

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Date of last update: 20 Jun 2025

Sources: Idaho Secretary of State