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RJB PSYCHOLOGY PLLC

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Company Details

Name: RJB PSYCHOLOGY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 16 May 2018 (7 years ago)
Financial Date End: 31 May 2024
Date dissolved: 13 Aug 2024
Entity Number: 609497
Place of Formation: IDAHO
File Number: 609497
ZIP code: 83622
County: Boise County
Principal Address: 10 CREEKSIDE CT GARDEN VALLEY, ID 83622
Mailing Address: 10 CREEKSIDE CT GARDEN VALLEY, ID 83622-5294

Agent

Name Role Address
RAY BOOTH Agent 10 CREEKSIDE CT, GARDEN VALLEY, ID 83622

Manager

Name Role Address Appointed On
RAY BOOTH Manager 10 CREEKSIDE CT, GARDEN VALLEY, ID 83622 2021-05-06

National Provider Identifier

NPI Number:
1225521164

Authorized Person:

Name:
MR. RAYDELL J BOOTH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005856845 2024-08-13
Annual Report 0005185033 2023-04-06
Annual Report 0004727316 2022-05-03
Annual Report 0004276750 2021-05-06
Annual Report 0003835351 2020-04-05

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State