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PRIDE MENTAL HEALTH, LLC

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Company Details

Name: PRIDE MENTAL HEALTH, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Feb 2017 (8 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 538056
Place of Formation: IDAHO
File Number: 538056
ZIP code: 83704
County: Ada County
Principal Address: 9488 W FAIRVIEW AVE BOISE, ID 83704-8101

Agent

Name Role Address
DANE M MULLEN Agent 9488 W. FAIRVIEW AVE., BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
Dane M. Mullen Manager 9488 W. FAIRIVIEW AVE., BOISE, ID 83704 2021-05-05 2023-01-10
Dane M Mullen Manager 9488 W. FAIRVIEW AVE, BOISE, ID 83704 2025-01-08 No data

National Provider Identifier

NPI Number:
1588199277
Certification Date:
2024-09-18

Authorized Person:

Name:
MR. DANE M. MULLEN
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
2083222983

Filing

Filing Name Filing Number Filing date
Annual Report 0006056524 2025-01-08
Application for Reinstatement 0005759712 2024-06-04
Dissolution/Revocation - Administrative 0005714983 2024-05-03
Annual Report 0005060154 2023-01-10
Annual Report 0004561735 2022-01-11

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
50800.00
Total Face Value Of Loan:
50800.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
50800
Current Approval Amount:
50800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
51264.85

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Date of last update: 07 Jun 2025

Sources: Idaho Secretary of State