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Inspire Change Therapeutic Services, PLLC

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Company Details

Name: Inspire Change Therapeutic Services, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Jan 2025 (5 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6046265
Place of Formation: IDAHO
File Number: 970712
ZIP code: 83860
County: Bonner County
Principal Address: 1129 GUN CLUB RD SAGLE, ID 83860
Mailing Address: MICHAELLA HAMMERSBERG 30410 HIGHWAY 200 # 200R-3 PONDERAY, ID 83852-9601

Agent

Name Role Address
Jeremy P. Featherston, Esq. Agent 113 SOUTH SECOND AVE, SANDPOINT, ID 83864

National Provider Identifier

NPI Number:
1164217873
Certification Date:
2025-04-12

Authorized Person:

Name:
MICHAELLA A HAMMERSBERG
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0006264286 2025-05-23
Initial Filing 0006046265 2025-01-03

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State