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MINDFUL HEALTH PLLC

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Company Details

Name: MINDFUL HEALTH PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 23 Jan 2017 (8 years ago)
Financial Date End: 31 Jan 2024
Date dissolved: 21 Feb 2024
Entity Number: 536709
Place of Formation: IDAHO
File Number: 536709
ZIP code: 83835
County: Kootenai County
Principal Address: 1130 W HAYDEN AVE STE 201 HAYDEN, ID 83835
Mailing Address: MINDFUL HEALTH 10673 W LAKE HAZEL RD #1057 BOISE, ID 83709

Agent

Name Role Address
Brigette Pender Agent 13403 N GOVERNMENT WAY, SUITE 102, HAYDEN, ID 83835

Manager

Name Role Address Appointed On Resigned On
Mindful Health PLLC Manager 13403 N GOVERNMENT WAY, HAYDEN, ID 83835-8747 2022-03-08 No data
Brigette Hager Manager 1130 W HAYDEN AVE, HAYDEN, ID 83835-8747 2021-03-23 2022-03-08

National Provider Identifier

NPI Number:
1699341537
Certification Date:
2023-04-07

Authorized Person:

Name:
MS. BRIGETTE PENDER
Role:
OWNER / PROVIDER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005609949 2024-02-21
Statement of Change of Business Mailing Address 0005369922 2023-08-23
Annual Report 0005064729 2023-01-13
Change of Registered Office/Agent/Both (by Entity) 0004648569 2022-03-08
Annual Report 0004648521 2022-03-08

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State