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PROACTIVE LIVING, LLC

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Company Details

Name: PROACTIVE LIVING, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Oct 2017 (8 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 576332
Place of Formation: IDAHO
File Number: 576332
ZIP code: 83202
County: Bannock County
Principal Address: 14801 KENSINGTON LN. POCATELLO, ID 83202
Mailing Address: 14801 KENSINGTON LN CHUBBUCK, ID 83202-5378

Agent

Name Role Address
STEVEN MCKEE Agent 14801 KENSINGTON LN, CHUBBUCK, ID 83202

Manager

Name Role Address Appointed On
Steven McKee Manager 14801 KENSINGTON LN, POCATELLO, ID 83202 2020-09-04

National Provider Identifier

NPI Number:
1063264778
Certification Date:
2024-04-04

Authorized Person:

Name:
STEVEN MCKEE
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8772842783

Filing

Filing Name Filing Number Filing date
Annual Report 0005881079 2024-09-04
Annual Report 0005399022 2023-09-12
Amendment to Certificate 0005077151 2023-01-21
Annual Report 0004889325 2022-09-07
Annual Report 0004401517 2021-09-03

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State