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Phalanx Wellness LLC

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Company Details

Name: Phalanx Wellness LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Nov 2023 (2 years ago)
Financial Date End: 30 Nov 2025
Date dissolved: 22 Feb 2025
Entity Number: 5475796
Place of Formation: IDAHO
File Number: 907021
ZIP code: 83634
County: Ada County
Principal Address: 1068 W OWYHEE ST KUNA, ID 83634-2206

Agent

Name Role Address
Timothy Scott Williams Agent 1068 OWYHEE ST, KUNA, ID 83634

National Provider Identifier

NPI Number:
1346016458
Certification Date:
2023-11-29

Authorized Person:

Name:
TIMOTHY SCOTT WILLIAMS
Role:
OWNER/COUNSELOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006126235 2025-02-24
Dissolution/Revocation - Administrative 0006118741 2025-02-22
Initial Filing 0005475796 2023-11-10

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State