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LIFESTYLE CHANGES COUNSELING INC

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Company Details

Name: LIFESTYLE CHANGES COUNSELING INC
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Sep 2016 (9 years ago)
Financial Date End: 30 Sep 2018
Date dissolved: 10 Jan 2019
Entity Number: 628843
Place of Formation: IDAHO
File Number: 628843
ZIP code: 83301
County: Twin Falls County
Mailing Address: 219 GOODING ST N STE D TWIN FALLS, ID 83301

Agent

Name Role Address
WILLIAM VIRTUE Agent 171 BLUE LAKES BLVD S #23, TWIN FALLS, ID 83301

National Provider Identifier

NPI Number:
1487102331

Authorized Person:

Name:
WILLIAM L VIRTUE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
Yes

Contacts:

Fax:
2087325894

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003394801 2019-01-10
Annual Report 0003299618 2017-07-31
Initial Filing 0000628843 2016-09-21

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Date of last update: 15 Aug 2025

Sources: Idaho Secretary of State