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PLAY THERAPY HOUSE, INC.

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Company Details

Name: PLAY THERAPY HOUSE, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 16 Apr 2018 (7 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 635011
Place of Formation: IDAHO
File Number: 635011
ZIP code: 83709
County: Ada County
Mailing Address: JACLYN MOORE 2577 S FIVE MILE RD # 101 BOISE, ID 83709-2325

Agent

Name Role Address
Jaclyn Moore Agent 2577 S FIVE MILE RD, BOISE, ID 83705

President

Name Role Address Appointed On
Kailee McMahon President 2577 S FIVE MILE RD., BOISE, ID 83709 2021-05-05

Secretary

Name Role Address Appointed On
Jaclyn Moore Secretary 2577 S FIVE MILE RD., BOISE, ID 83709 2024-04-10

National Provider Identifier

NPI Number:
1902398548

Authorized Person:

Name:
KAILEE MCMAHON
Role:
REGISTERED AGENT
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005686987 2024-04-10
Annual Report 0005141759 2023-03-07
Annual Report 0004690551 2022-04-06
Annual Report 0004274110 2021-05-05
Change of Registered Office/Agent/Both (by Entity) 0004004317 2020-09-15

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State