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Psychological Evaluations and Health Services, PLLC

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Company Details

Name: Psychological Evaluations and Health Services, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Sep 2024 (8 months ago)
Financial Date End: 30 Sep 2025
Entity Number: 5913449
Place of Formation: IDAHO
File Number: 957142
ZIP code: 83301
County: Twin Falls County
Principal Address: DR. MICHELLE TIGUE 133 MAIN AVE W TWIN FALLS, ID 83301
Mailing Address: DR. MICHELLE TIGUE 133 MAIN AVE W TWIN FALLS, ID 83301-6580

Agent

Name Role Address
Michelle Tigue Agent 4030 MOUNTAIN VISTA LANE, FILER, ID 83328

National Provider Identifier

NPI Number:
1447070412
Certification Date:
2024-10-15

Authorized Person:

Name:
CRYSTA MICHELLE TIGUE
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005913449 2024-09-27

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State