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Bay Roots Counseling LLC

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Company Details

Name: Bay Roots Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Aug 2024 (a year ago)
Financial Date End: 31 Aug 2026
Entity Number: 5864638
Place of Formation: IDAHO
File Number: 951146
ZIP code: 83201
County: Bannock County
Principal Address: 344 N 15TH AVE APT 10L POCATELLO, ID 83201
Mailing Address: MADELINE FLAKE 6168 ARAPAHOE ST POCATELLO, ID 83204-5078

Agent

Name Role Address
Madeline Flake Agent 6168 ARAPAHOE ST, POCATELLO, ID 83204-5078

Managing Member

Name Role Address Appointed On
Madeline Paul Flake Managing Member 6168 ARAPAHOE ST, POCATELLO, ID 83201 2025-07-12

National Provider Identifier

NPI Number:
1316838055
Certification Date:
2025-07-11

Authorized Person:

Name:
MADELINE B PAUL
Role:
SELF
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006356420 2025-07-12
Statement of Change of Business Mailing Address 0006319902 2025-06-16
Initial Filing 0005864638 2024-08-18

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Date of last update: 27 Jul 2025

Sources: Idaho Secretary of State