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SAFE WATERS MENTAL RECOVERY PLLC

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Company Details

Name: SAFE WATERS MENTAL RECOVERY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Mar 2018 (7 years ago)
Financial Date End: 31 Mar 2024
Date dissolved: 12 Jun 2024
Entity Number: 599125
Place of Formation: IDAHO
File Number: 599125
ZIP code: 83814
County: Kootenai County
Principal Address: 2101 LAKEWOOD DR STE 226 COEUR D ALENE, ID 83814
Mailing Address: KATHLEEN SAMSEL 12601 VAN NUYS BLVD UNIT 153 PACOIMA, CA 91331-1330

Agent

Name Role Address
KATHLEEN SAMSEL Agent 157 W HAYDEN AVE, SUITE 206, KATHLEEN SAMSEL, HAYDEN, ID 83835

Manager

Name Role Address Appointed On
Kathleen Samsel Manager 157 W HAYDEN AVE, HAYDEN, ID 83835-9650 2021-02-23

National Provider Identifier

NPI Number:
1992200901

Authorized Person:

Name:
KATHLEEN M SAMSEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005775173 2024-06-12
Statement of Change of Business Mailing Address 0005635747 2024-03-05
Annual Report 0005122478 2023-02-22
Annual Report 0004623771 2022-02-25
Annual Report 0004181134 2021-02-23

USAspending Awards / Financial Assistance

Date:
2020-07-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
-39000.00
Total Face Value Of Loan:
0.00

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State