Search icon

Mindful Healing Psychiatry LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Mindful Healing Psychiatry LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Aug 2024 (10 months ago)
Financial Date End: 31 Aug 2025
Entity Number: 5863633
Place of Formation: IDAHO
File Number: 950934
ZIP code: 83687
County: Canyon County
Principal Address: 16520 MULBERRY LN NAMPA, ID 83687
Mailing Address: 16520 MULBERRY LN NAMPA, ID 83687-8492

Agent

Name Role Address
carolyn nugent Agent 16520 MULBERRY LN, NAMPA, ID 83687

National Provider Identifier

NPI Number:
1023834926
Certification Date:
2024-11-25

Authorized Person:

Name:
CAROLYN ANN NUGENT
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005863633 2024-08-16

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 23 May 2025

Sources: Idaho Secretary of State