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Renew Counseling & Psychotherapy, PLLC

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Company Details

Name: Renew Counseling & Psychotherapy, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Oct 2024 (8 months ago)
Financial Date End: 31 Oct 2025
Entity Number: 5948081
Place of Formation: IDAHO
File Number: 960621
ZIP code: 83860
County: Bonner County
Principal Address: KATTY ROZOK 342 TAMARACK LANE SAGLE, ID 83860
Mailing Address: KATTY ROZOK 342 TAMARACK LN SAGLE, ID 83860-8232

Agent

Name Role Address
Katty Rozok Agent 342 TAMARACK LANE, SAGLE, ID 83860

National Provider Identifier

NPI Number:
1326861782
Certification Date:
2025-03-10

Authorized Person:

Name:
KATTY ROZOK
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005948081 2024-10-22

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State