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Psych Collective PLLC

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Company Details

Name: Psych Collective PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 24 Oct 2023 (2 years ago)
Financial Date End: 31 Oct 2024
Date dissolved: 01 Nov 2023
Entity Number: 5448311
Place of Formation: IDAHO
File Number: 904427
ZIP code: 83815
County: Kootenai County
Principal Address: 225 2101 N. LAKEWOOD DR. COEURDALENE, ID 83815
Mailing Address: STE 225 2101 N LAKEWOOD DR COEUR D ALENE, ID 83814-2473

Agent

Name Role Address
Chelsea C Brouse Agent 6981 CORNWALL STREET, COEURDALENE, ID 83815

National Provider Identifier

NPI Number:
1457112039
Certification Date:
2024-06-06

Authorized Person:

Name:
CHELSEA BROUSE
Role:
CO-FOUNDER
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005454353 2023-11-01
Initial Filing 0005448311 2023-10-24

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Date of last update: 26 Jul 2025

Sources: Idaho Secretary of State