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Alliance Psychiatric Wellness, PLLC

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Company Details

Name: Alliance Psychiatric Wellness, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Dec 2023 (2 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 5524669
Place of Formation: IDAHO
File Number: 912585
ZIP code: 83864
County: Bonner County
Principal Address: ALLIANCE PSYCHIATRIC WELLNESS, PLLC 1309 PONDEROSA DR STE 203 SANDPOINT, ID 83864
Mailing Address: ALLIANCE PSYCHIATRIC WELLNESS, PLLC STE 203 1309 PONDEROSA DR SANDPOINT, ID 83864-8278

Agent

Name Role Address
Cyndi M Gerstenberger Agent 1309 PONDEROSA DR STE 203, SANDPOINT, ID 83864

Manager

Name Role Address Appointed On
Cyndi M Gerstenberger Manager 174 EAST CABINET WAGON RD, CLARK FORK, ID 83811 2024-12-27

National Provider Identifier

NPI Number:
1649093824
Certification Date:
2025-02-08

Authorized Person:

Name:
CYNDI MARIE GERSTENBERGER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8556102310

Filing

Filing Name Filing Number Filing date
Annual Report 0006036986 2024-12-27
Initial Filing 0005524669 2023-12-21

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State