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Transformative Journey Healthcare, LLC

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Company Details

Name: Transformative Journey Healthcare, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jun 2024 (a year ago)
Financial Date End: 30 Jun 2026
Entity Number: 5787813
Place of Formation: IDAHO
File Number: 943084
ZIP code: 83404
County: Bonneville County
Principal Address: MICHELLE SMITH 216 ARDEN DR IDAHO FALLS, ID 83404
Mailing Address: MICHELLE SMITH 749 OXFORD DR IDAHO FALLS, ID 83401-4203

Managing Member

Name Role Address Appointed On
MICHELLE SMITH Managing Member 216 ARDEN, IDAHO FALLS, ID 83404 2025-05-13

Agent

Name Role Address
MICHELLE SMITH Agent 749 OXFORD DR, IDAHO FALLS, ID 83401

National Provider Identifier

NPI Number:
1154167682
Certification Date:
2024-07-03

Authorized Person:

Name:
MICHELLE SMITH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006253688 2025-05-13
Change of Registered Office/Agent/Both (by Entity) 0006175392 2025-04-15
Statement of Change of Business Mailing Address 0006175365 2025-03-27
Amendment to Certificate 0006126677 2025-02-27
Initial Filing 0005787813 2024-06-24

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State