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Rooted Resilience Wellness PLLC

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Company Details

Name: Rooted Resilience Wellness PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Mar 2025 (4 months ago)
Financial Date End: 31 Mar 2026
Entity Number: 6173295
Place of Formation: IDAHO
File Number: 985239
ZIP code: 83634
County: Ada County
Principal Address: 1015 W OWYHEE ST KUNA, ID 83634

Agent

Name Role Address
MATTHEW MORELL Agent 1015 W OWYHEE ST, KUNA, ID 83634

National Provider Identifier

NPI Number:
1811782188
Certification Date:
2025-04-09

Authorized Person:

Name:
LAURA MORELL
Role:
MENTAL HEALTH THERAPIST, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006173295 2025-03-12

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State