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Full Spectrum Psychology LLC

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Company Details

Name: Full Spectrum Psychology LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Jan 2025 (6 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6071120
Place of Formation: IDAHO
File Number: 972706
ZIP code: 83404
County: Bonneville County
Principal Address: DR. AARON HARRIS 5272 LONG COVE DRIVE IDAHO FALLS, ID 83404
Mailing Address: DR. AARON HARRIS 5272 LONG COVE DR IDAHO FALLS, ID 83404-8288

Agent

Name Role Address
Aaron A Harris Agent 5272 LONG COVE DRIVE, IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1982418257
Certification Date:
2025-04-11

Authorized Person:

Name:
DR. AARON A HARRIS
Role:
OWNER - CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
2085987998

Filing

Filing Name Filing Number Filing date
Initial Filing 0006071120 2025-01-15

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State