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Luminous Wisdom Sandplay Therapy and Counseling PLLC

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Company Details

Name: Luminous Wisdom Sandplay Therapy and Counseling PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Dec 2023 (2 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 5509597
Place of Formation: IDAHO
File Number: 911281
ZIP code: 83404
County: Bonneville County
Principal Address: STE C 2235 E 25TH ST IDAHO FALLS, ID 83404
Mailing Address: STE C 2235 E 25TH ST IDAHO FALLS, ID 83404-7519

Agent

Name Role Address
ALL DAY $49 IDAHO REGISTERED AGENT LLC Agent 784 S CLEARWATER LOOP STE F, POST FALLS, ID 83854

Member

Name Role Address Appointed On
Michele M Elsbree Member 2235 E 25TH DT, IDAHO FALLS, ID 83404 2024-11-19

National Provider Identifier

NPI Number:
1508636770
Certification Date:
2024-10-01

Authorized Person:

Name:
MICHELE MARIE ELSBREE
Role:
CLINICAL SOCIAL WORKER
Phone:

Taxonomy:

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

Contacts:

Fax:
8882401846

Filing

Filing Name Filing Number Filing date
Annual Report 0005988647 2024-11-19
Initial Filing 0005509597 2023-12-12

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State