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RESTORATION MENTAL HEALTH LLC

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Company Details

Name: RESTORATION MENTAL HEALTH LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Oct 2023 (2 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 5418547
Place of Formation: IDAHO
File Number: 901203
ZIP code: 83406
County: Bonneville County
Principal Address: 5297 THUNDER DR IDAHO FALLS, ID 83406
Mailing Address: PO BOX 3093 IDAHO FALLS, ID 83403-3093

Agent

Name Role Address
JEREMY MIHU Agent 5297 THUNDER DR, IDAHO FALLS, ID 83406

Member

Name Role Address Appointed On
JEREMY MIHU Member PO BOX 3093, IDAHO FALLS, ID 83403-3093 2024-09-03

National Provider Identifier

NPI Number:
1568235935
Certification Date:
2023-11-07

Authorized Person:

Name:
KYLE GREER
Role:
PHYSICIAN, PART OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005877592 2024-09-03
Initial Filing 0005418547 2023-10-03

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Date of last update: 20 Jun 2025

Sources: Idaho Secretary of State