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COUNSELING & TREATMENT CENTER OF IDAHO, LLC

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Company Details

Name: COUNSELING & TREATMENT CENTER OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 25 Jun 2018 (7 years ago)
Financial Date End: 30 Jun 2022
Date dissolved: 19 Aug 2022
Entity Number: 615784
Place of Formation: IDAHO
File Number: 615784
ZIP code: 83440
County: Madison County
Principal Address: 7925 SOUTH 1800 WEST REXBURG, ID 83440
Mailing Address: JEFFREY FINCH STE 302 859 S YELLOWSTONE HWY REXBURG, ID 83440-5294

Manager

Name Role Address Appointed On
Jeffrey Finch Manager 859 S YELLOWSTONE HWY, REXBURG, ID 83440 2021-05-24

Agent

Name Role Address
Jeffrey S Finch Agent 859 S YELOWSTONE HWY, STE 302, JEFFREY FINCH, REXBURG, ID 83440

National Provider Identifier

NPI Number:
1093354318
Certification Date:
2020-10-23

Authorized Person:

Name:
DEBORAH FINCH
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2052738403

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004864719 2022-08-18
Annual Report 0004289903 2021-05-24
Annual Report 0003864455 2020-05-04
Change of Registered Office/Agent/Both (by Entity) 0003537285 2019-06-13
Annual Report 0003519853 2019-05-21

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State