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JEN MOORE COUNSELING SERVICES, LLC

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Company Details

Name: JEN MOORE COUNSELING SERVICES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Feb 2017 (8 years ago)
Financial Date End: 28 Feb 2023
Date dissolved: 10 May 2023
Entity Number: 540483
Place of Formation: IDAHO
File Number: 540483
ZIP code: 83706
County: Ada County
Principal Address: 3350 AMERICANA TERRACE STE 210B BOISE, ID 83706
Mailing Address: STE 168 4696 W OVERLAND RD BOISE, ID 83705-2878

Agent

Name Role Address
JENNIFER MOORE Agent 4696 W OVERLAND RD, 168, BOISE, ID 83705

Manager

Name Role Address Appointed On
Jennifer D Moore Manager 663 W BERWICK DR, BOISE, ID 83706 2021-01-21

National Provider Identifier

NPI Number:
1508388513

Authorized Person:

Name:
MS. JENNIFER DANLEE MOORE
Role:
OWNER, PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005235605 2023-05-10
Statement of Change of Business Mailing Address 0005120426 2023-02-20
Annual Report 0004574754 2022-01-18
Annual Report 0004140219 2021-01-21
Annual Report 0003747143 2020-01-15

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State