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GenHealer LLC

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Company Details

Name: GenHealer LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Mar 2024 (a year ago)
Financial Date End: 31 Mar 2026
Entity Number: 5653130
Place of Formation: IDAHO
File Number: 927209
ZIP code: 83605
County: Canyon County
Principal Address: 517 S 10TH AVE CALDWELL, ID 83605
Mailing Address: 517 S 10TH AVE CALDWELL, ID 83605-4158

Agent

Name Role Address
Joel Nielson Agent 517 S 10TH AVE, CALDWELL, ID 83607

Member

Name Role Address Appointed On
Joel Gordon Nielson Member 517 S 10TH AVE, CALDWELL, ID 83605 2025-03-12

National Provider Identifier

NPI Number:
1750199329
Certification Date:
2024-12-27

Authorized Person:

Name:
JOEL NIELSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
101YP1600X - Pastoral Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006157346 2025-03-12
Initial Filing 0005653130 2024-03-18

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Date of last update: 22 May 2025

Sources: Idaho Secretary of State