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Lyon Therapy, PLLC

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Company Details

Name: Lyon Therapy, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Aug 2023 (2 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 5364607
Place of Formation: IDAHO
File Number: 893688
ZIP code: 83714
County: Ada County
Principal Address: TARA LYON STE 1232 9169 W STATE ST GARDEN CITY, ID 83714
Mailing Address: TARA LYON 9169 W STATE ST PMB 1232 GARDEN CITY, ID 83714-1733

Agent

Name Role Address
Tara Rochelle Lyon Agent 671 E RIVERPARK LANE, STE 100, TARA LYON, BOISE, ID 83706

Manager

Name Role Address Appointed On
Tara Lyon Manager 3160 W. FOXTROTTER DR., MERIDIAN, ID 83646 2024-07-23

Links between entities

Type:
Headquarter of
Company Number:
001-158-421
State:
ALABAMA
ALABAMA profile:

National Provider Identifier

NPI Number:
1679335590
Certification Date:
2024-01-25

Authorized Person:

Name:
TARA ROCHELLE LYON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0005862449 2024-08-15
Statement of Change of Business Mailing Address 0005862440 2024-08-15
Annual Report 0005826695 2024-07-23
Change of Registered Office/Agent/Both (by Entity) 0005511841 2023-12-26
Amendment to Certificate 0005511855 2023-12-26

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Date of last update: 20 Jun 2025

Sources: Idaho Secretary of State