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East Idaho Mental Health, LLC

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Company Details

Name: East Idaho Mental Health, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 18 Mar 2024 (a year ago)
Financial Date End: 31 Mar 2025
Date dissolved: 07 Jun 2025
Entity Number: 5652598
Place of Formation: IDAHO
File Number: 927091
Principal Address: 1883 WEST ROYAL HUNTE DRIVE, SUITE 200A CEDAR CITY, UT 84720
Mailing Address: STE 200A 1883 W ROYAL HUNTE DR CEDAR CITY, UT 84720-4000

Agent

Name Role Address
MAIN STREET REGISTERED AGENT, INC. Agent 15 S 100 E, STE 200, REXBURG, ID 83440

National Provider Identifier

NPI Number:
1629825526
Certification Date:
2025-05-28

Authorized Person:

Name:
DESTIN THAYNE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006305810 2025-06-07
Initial Filing 0005652598 2024-03-18

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State