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SERENITY TREATMENT LLC

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Company Details

Name: SERENITY TREATMENT LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 May 2018 (7 years ago)
Financial Date End: 31 May 2025
Entity Number: 608775
Place of Formation: IDAHO
File Number: 608775
ZIP code: 83501
County: Nez Perce County
Principal Address: 1229 MAIN ST SUITE 100 LEWISTON, ID 83501
Mailing Address: 1034 MAIN ST LEWISTON, ID 83501-1842

Agent

Name Role Address
Elaine B Dufford Agent 1034 MAIN STREET, LEWISTON, ID 83501

Member

Name Role Address Appointed On
Ciara R Fitting Member 2219 CEDAR AVENUE, LEWISTON, ID 83501 2021-06-14

National Provider Identifier

NPI Number:
1790504561
Certification Date:
2024-10-08

Authorized Person:

Name:
MS. ELAINE B DUFFORD
Role:
OWNER/CLINICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8332646643

Filing

Filing Name Filing Number Filing date
Change of Registered Office/Agent/Both (by Entity) 0005784820 2024-07-10
Annual Report 0005667736 2024-04-03
Annual Report 0005182593 2023-04-05
Annual Report 0004724816 2022-05-03
Annual Report 0004315123 2021-06-14

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State