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Healing Springs Counseling LLC

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Company Details

Name: Healing Springs Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Oct 2023 (2 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 5415520
Place of Formation: IDAHO
File Number: 900989
ZIP code: 83442
County: Jefferson County
Principal Address: 93 N 4142 E RIGBY, ID 83442
Mailing Address: 93 N 4142 E RIGBY, ID 83442-5142

Agent

Name Role Address
Jonathan M Moses Agent 93 N 4142 E, RIGBY, ID 83442

Manager

Name Role Address Appointed On
Jonathan M Moses Manager 93 N 4142 E, RIGBY, ID 83442 2024-10-14

National Provider Identifier

NPI Number:
1801669817
Certification Date:
2023-11-09

Authorized Person:

Name:
BRIAN MENDOZA
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005941081 2024-10-14
Initial Filing 0005415520 2023-10-02

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Date of last update: 21 May 2025

Sources: Idaho Secretary of State