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Greater Mind Integration, PLLC

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Company Details

Name: Greater Mind Integration, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Jun 2024 (a year ago)
Financial Date End: 30 Jun 2026
Entity Number: 5761744
Place of Formation: IDAHO
File Number: 940264
ZIP code: 83702
County: Ada County
Principal Address: APT D103 2800 N BOGUS BASIN RD BOISE, ID 83702
Mailing Address: APT D103 2800 N BOGUS BASIN RD BOISE, ID 83702-0976

Agent

Name Role Address
Tracy Roe Agent 2800 N BOGUS BASIN RD, APT D103, BOISE, ID 83702-0976

Member

Name Role Address Appointed On
Tracy Roe Member 2800 N BOGUS BASIN RD, BOISE, ID 83702-0976 2025-06-04

National Provider Identifier

NPI Number:
1295559797
Certification Date:
2024-11-12

Authorized Person:

Name:
TRACY LYNN ROE
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
2085934357

Filing

Filing Name Filing Number Filing date
Annual Report 0006298254 2025-06-04
Initial Filing 0005761744 2024-06-05

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State