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Flourish Mental Health, PLLC

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Company Details

Name: Flourish Mental Health, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Jul 2023 (2 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 5326310
Place of Formation: IDAHO
File Number: 889260
ZIP code: 83301
County: Twin Falls County
Principal Address: KRISTINA LODER SUITE 201 139 RIVER VISTA PLACE TWIN FALLS, ID 83301
Mailing Address: KRISTINA LODER 718 SHOSHONE ST E TWIN FALLS, ID 83301-3060

Agent

Name Role Address
KRISTINA LODER Agent 718 SHOSHONE ST E, KRISTINA LODER, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
KRISTINA LODER Manager 718 SHOSHONE ST E, TWIN FALLS, ID 83301-3060 2024-06-05

National Provider Identifier

NPI Number:
1033891841
Certification Date:
2023-08-01

Authorized Person:

Name:
KRISTINA LODER
Role:
CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006295352 2025-06-03
Annual Report 0005761935 2024-06-05
Change of Registered Office/Agent/Both (by Entity) 0005612441 2024-02-25
Amendment to Certificate 0005409288 2023-09-22
Statement of Change of Business Mailing Address 0005409287 2023-09-22

Tax Exempt

Employer Identification Number (EIN) :
85-4149930
In Care Of Name:
% JONI HUNT
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2021-09
National Taxonomy Of Exempt Entities:
Mental Health & Crisis Intervention: Counseling, Support Groups
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 25 Jul 2025

Sources: Idaho Secretary of State