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Blossom Therapy LLC

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Company Details

Name: Blossom Therapy LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 11 Jul 2023 (2 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 5317100
Place of Formation: MONTANA
File Number: 888091
ZIP code: 83651
County: Canyon County
Principal Address: 700 N EWING ST HELENA, MT 59601
Mailing Address: AUTUMN PIERCE STE 202 320 11TH AVE S NAMPA, ID 83651

Agent

Name Role Address
Autumn I Pierce Agent 320 11TH AVE S, STE 202, AUTUMN PIERCE, NAMPA, ID 83651

Member

Name Role Address Appointed On
Blossom Therapy LLC Member 320 11TH AVE S, NAMPA, ID 83651 2024-08-07

National Provider Identifier

NPI Number:
1801649264
Certification Date:
2024-04-07

Authorized Person:

Name:
AUTUMN ISAIAH PIERCE
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005850905 2024-08-07
Initial Filing 0005317100 2023-07-11

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Date of last update: 27 Mar 2025

Sources: Idaho Secretary of State