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Lake Counseling Services, LLC

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Company Details

Name: Lake Counseling Services, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 May 2023 (2 years ago)
Financial Date End: 31 May 2025
Entity Number: 5255203
Place of Formation: IDAHO
File Number: 881834
ZIP code: 83619
County: Payette County
Principal Address: CHRISTA LAKE 620 S. IDAHO AVENUE FRUITLAND, ID 83619
Mailing Address: CHRISTA LAKE 620 S. IDAHO AVE FRUITLAND, ID 83619-0952

Agent

Name Role Address
Christa Lake Agent 2719 DOGWOOD AVENUE, FRUITLAND, ID 83619

Manager

Name Role Address Appointed On
Christa Lake Manager 2719 DOGWOOD AVENUE, FRUITLAND, ID 83619 2024-04-04

National Provider Identifier

NPI Number:
1861262651
Certification Date:
2024-01-03

Authorized Person:

Name:
CHRISTA LAKE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005672986 2024-04-04
Initial Filing 0005255203 2023-05-31

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State