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PHILLIPS AGENCY, INC.

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Company Details

Name: PHILLIPS AGENCY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jan 2014 (11 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 605333
Place of Formation: IDAHO
File Number: 605333
ZIP code: 83501
County: Nez Perce County
Mailing Address: TIFFANY POXLEITNER STE D 102 THAIN RD LEWISTON, ID 83501-4877

Agent

Name Role Address
JEREMY CARR Agent 1229 MAIN ST, LEWISTON, ID 83501

President

Name Role Address Appointed On
TIFFANY POXLEITNER President 102 THAIN ROAD, LEWISTON, ID 83501 2022-11-03

National Provider Identifier

NPI Number:
1053444604

Authorized Person:

Name:
DR. JAMES R PHILLIPS
Role:
LICENSED PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC1900X - Counseling Psychologist
Is Primary:
No

Contacts:

Fax:
2087985169

Filing

Filing Name Filing Number Filing date
Annual Report 0006037271 2024-12-28
Annual Report 0005509094 2023-12-12
Annual Report 0005026271 2022-12-10
Application for Reinstatement 0004966734 2022-11-03
Statement of Change of Business Mailing Address 0004959497 2022-10-23

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Date of last update: 10 Jun 2025

Sources: Idaho Secretary of State