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Bridges of Hope Psychiatry, PLLC

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Company Details

Name: Bridges of Hope Psychiatry, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Apr 2025 (4 months ago)
Financial Date End: 30 Apr 2026
Entity Number: 6205076
Place of Formation: IDAHO
File Number: 988205
ZIP code: 83221
County: Bingham County
Principal Address: 360 W. JUDICIAL BLACKFOOT, ID 83221
Mailing Address: BROOKE BROWN 360 W JUDICIAL ST BLACKFOOT, ID 83221-2122

Agent

Name Role Address
Brooke Nichole Brown Agent 196 S 1000 W, BLACKFOOT, ID 83221-6022

National Provider Identifier

NPI Number:
1902791932
Certification Date:
2025-06-10

Authorized Person:

Name:
BROOKE NICHOLE BROWN
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006205076 2025-04-11

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Date of last update: 28 Jul 2025

Sources: Idaho Secretary of State