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IDAHO PSYCHOLOGICAL RESOURCES LLC

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Company Details

Name: IDAHO PSYCHOLOGICAL RESOURCES LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Sep 2001 (24 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 63306
Place of Formation: IDAHO
File Number: 63306
ZIP code: 83255
County: Butte County
Principal Address: 3915 N 3650 W MOORE, ID 83255-8749

Agent

Name Role Address
JEFF KRACZEK Agent 3915 NORTH 3650 WEST, MOORE, ID 83255

National Provider Identifier

NPI Number:
1063918464
Certification Date:
2021-06-21

Authorized Person:

Name:
ALEXIS GAMETT
Role:
ADMINSTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
Yes

Contacts:

Fax:
2085882984

Filing

Filing Name Filing Number Filing date
Annual Report 0005930618 2024-10-06
Application for Reinstatement 0005545439 2024-01-06
Dissolution/Revocation - Administrative 0005513896 2023-12-16
Annual Report 0004916980 2022-09-15
Annual Report 0004415229 2021-09-11

USAspending Awards / Financial Assistance

Date:
2020-04-27
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:
20298.25
Total Face Value Of Loan:
20298.25

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20298.25
Current Approval Amount:
20298.25
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
20448.4

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State