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Spring Creek Mental Health PLLC

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Company Details

Name: Spring Creek Mental Health PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Jan 2025 (6 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6069973
Place of Formation: IDAHO
File Number: 972489
ZIP code: 83442
County: Jefferson County
Principal Address: STE 102 711 RIGBY LAKE DR RIGBY, ID 83442
Mailing Address: PO BOX 321 LEWISVILLE, ID 83431-0321

Agent

Name Role Address
Ty Alan Cottle Agent 711 RIGBY LAKE DR, STE 102, RIGBY, ID 83442

National Provider Identifier

NPI Number:
1154135465
Certification Date:
2025-03-11

Authorized Person:

Name:
TY COTTLE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2082160228

Filing

Filing Name Filing Number Filing date
Initial Filing 0006069973 2025-01-14

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State