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Iron Roots Recovery & Mental Wellness, PLLC

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Company Details

Name: Iron Roots Recovery & Mental Wellness, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Feb 2025 (4 months ago)
Financial Date End: 28 Feb 2026
Entity Number: 6127237
Place of Formation: IDAHO
File Number: 980031
ZIP code: 83814
County: Kootenai County
Principal Address: JENNIFER MAYBERRY 105 2025 W PARK PLACE COEUR D'ALENE, ID 83814
Mailing Address: JENNIFER MAYBERRY 105 2025 W PARK PL COEUR D ALENE, ID 83814-2787

Agent

Name Role Address
Matthew B Mayberry Agent 9177 N HESS ST, HAYDEN, ID 83835-8744

National Provider Identifier

NPI Number:
1104626944
Certification Date:
2025-05-13

Authorized Person:

Name:
JENNIFER MARIE MAYBERRY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2087197952

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006256769 2025-05-15
Amendment to Certificate 0006206763 2025-04-14
Statement of Change of Business Mailing Address 0006205494 2025-04-12
Initial Filing 0006127237 2025-02-26

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State