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Summit Psychiatry and Family Wellness PLLC

Company Details

Name: Summit Psychiatry and Family Wellness PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Oct 2024 (7 months ago)
Financial Date End: 31 Oct 2025
Entity Number: 5950188
Place of Formation: IDAHO
File Number: 961013
ZIP code: 83686
County: Canyon County
Principal Address: 120 217 WEST GEORGIA AVE NAMPA, ID 83686
Mailing Address: BILL LOVELAND STE 120 217 W GEORGIA AVE NAMPA, ID 83686-6812

Agent

Name Role Address
William Loveland Agent 1828 S MILLENNIUM WAY, 300, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1437986254
Certification Date:
2024-09-16

Authorized Person:

Name:
WILLAIM D. LOVELAND
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2084981769

Filing

Filing Name Filing Number Filing date
Initial Filing 0005950188 2024-10-24

Date of last update: 23 May 2025

Sources: Idaho Secretary of State