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Whitewater TMS LLC

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Company Details

Name: Whitewater TMS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Oct 2024 (9 months ago)
Financial Date End: 31 Oct 2025
Entity Number: 5941399
Place of Formation: IDAHO
File Number: 959379
ZIP code: 83703
County: Ada County
Principal Address: OWNERS 908 N WHITEWATER PARK BLVD BOISE, ID 83703
Mailing Address: OWNERS 908 N WHITEWATER PARK BLVD BOISE, ID 83703-5822

Agent

Name Role Address
Jacqueline M Bell Agent 3033 N CANTERWOOD PLACE, BOISE, ID 83703

National Provider Identifier

NPI Number:
1750103263
Certification Date:
2024-10-26

Authorized Person:

Name:
DR. JACQUELINE MARIE BELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005941399 2024-10-14

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State