Search icon

Lighthouse Behavioral Health LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Lighthouse Behavioral Health LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Apr 2025 (3 months ago)
Financial Date End: 30 Apr 2026
Entity Number: 6199360
Place of Formation: IDAHO
File Number: 987453
ZIP code: 83709
County: Ada County
Principal Address: #101 6109 W OVERLAND RD BOISE, ID 83709
Mailing Address: 6109 W OVERLAND RD # 101 BOISE, ID 83709-3018

Agent

Name Role Address
mazin ibraheem Agent 6109 W OVERLAND RD # 101, BOISE, ID 83709-3018

National Provider Identifier

NPI Number:
1225822778
Certification Date:
2025-04-08

Authorized Person:

Name:
MAZIN IBRAHEEM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006199360 2025-04-07

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State