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BIG LAKE PSYCHOLOGICAL SERVICES, PC

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Company Details

Name: BIG LAKE PSYCHOLOGICAL SERVICES, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 18 May 2015 (10 years ago)
Financial Date End: 31 May 2023
Date dissolved: 04 Aug 2023
Entity Number: 620442
Place of Formation: IDAHO
File Number: 620442
ZIP code: 83814
County: Kootenai County
Mailing Address: 1809 E SHERMAN AVE COEUR D ALENE, ID 83814-5873

Agent

Name Role Address
HEATHER A REHIL-CREST Agent 1809 E SHERMAN AVE, COEUR D ALENE, ID 83814

Director

Name Role Address Appointed On
Big lake Psychological Services Director 1809 E SHERMAN AVE, CDA, ID 83814 2021-04-05

National Provider Identifier

NPI Number:
1508100876
Certification Date:
2020-07-27

Authorized Person:

Name:
DR. HEATHER REHIL
Role:
CHIEF PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
460665022
Plan Year:
2017
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005351212 2023-08-04
Annual Report 0004725145 2022-05-03
Annual Report 0004229846 2021-04-05
Annual Report 0003865012 2020-05-04
Annual Report 0003498264 2019-04-30

USAspending Awards / Financial Assistance

Date:
2021-04-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
104541.75
Total Face Value Of Loan:
104541.75
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
134362.50
Total Face Value Of Loan:
134362.50
Date:
2015-08-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
153000.00
Total Face Value Of Loan:
153000.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
134362.5
Current Approval Amount:
134362.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Veteran
Forgiveness Amount:
135522.07
Date Approved:
2021-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
104541.75
Current Approval Amount:
104541.75
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Veteran
Forgiveness Amount:
105042.98

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State