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IDAHO TRAUMA THERAPY L.L.C.

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Company Details

Name: IDAHO TRAUMA THERAPY L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 May 2017 (8 years ago)
Financial Date End: 31 May 2026
Entity Number: 554309
Place of Formation: IDAHO
File Number: 554309
ZIP code: 83702
County: Ada County
Principal Address: STE 200 500 W IDAHO ST. BOISE, ID 83702
Mailing Address: STE 200 500 W IDAHO ST. STE 200 BOISE, ID 83702-5755

Agent

Name Role Address
HILLARY COOK Agent 500 W IDAHO ST, STE 200, BOISE, ID 83702

Manager

Name Role Address Appointed On
Hillary Cook Manager 500 W IDAHO ST, BOISE, ID 83702 2021-04-07

National Provider Identifier

NPI Number:
1477049492

Authorized Person:

Name:
MRS. HILLARY DAWN COOK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006189942 2025-04-04
Amendment to Certificate 0005669815 2024-04-03
Annual Report 0005669790 2024-04-03
Annual Report 0005179090 2023-04-03
Annual Report 0004691912 2022-04-07

USAspending Awards / Financial Assistance

Date:
2020-06-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
20300.00
Total Face Value Of Loan:
40300.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 12 Aug 2025

Sources: Idaho Secretary of State