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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 2025
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

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 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
Initial Filing 0005326310 2023-07-19

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Date of last update: 27 Mar 2025

Sources: Idaho Secretary of State