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Mountain Valley Counseling LLC

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Company Details

Name: Mountain Valley Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Jul 2024 (a year ago)
Financial Date End: 31 Jul 2026
Entity Number: 5819296
Place of Formation: IDAHO
File Number: 945895
ZIP code: 83651
County: Canyon County
Principal Address: 15327 N SHIKO WAY NAMPA, ID 83651
Mailing Address: 15327 N SHIKO WAY NAMPA, ID 83651-3002

Agent

Name Role Address
Hailey McCormick Agent 15327 N SHIKO WAY, NAMPA, ID 83651

Manager

Name Role Address Appointed On
Hailey McCormick Manager 15327 N SHIKO WAY, NAMPA, ID 83651 2025-07-09

National Provider Identifier

NPI Number:
1104632496
Certification Date:
2024-12-10

Authorized Person:

Name:
HAILEY MCCORMICK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006347852 2025-07-09
Initial Filing 0005819296 2024-07-14

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Date of last update: 12 Jul 2025

Sources: Idaho Secretary of State