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Realize Behavioral Health, LLC

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Company Details

Name: Realize Behavioral Health, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Jan 2025 (4 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6080084
Place of Formation: IDAHO
File Number: 974597
ZIP code: 83607
County: Canyon County
Principal Address: TIMOTHY HOEKSTRA--REALIZE BH 14233 SILVER RIDGE RD CALDWELL, ID 83607
Mailing Address: 14233 SILVER RIDGE RD CALDWELL, ID 83607-5448

Agent

Name Role Address
Timothy Hoekstra Agent 14233 SILVER RIDGE RD, CALDWELL, ID 83607

National Provider Identifier

NPI Number:
1285431841
Certification Date:
2025-02-28

Authorized Person:

Name:
TIMOTHY J HOEKSTRA
Role:
OWNER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006226647 2025-05-01
Initial Filing 0006080084 2025-01-25

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State