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CRESWELL COUNSELING CENTER, LLC

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Company Details

Name: CRESWELL COUNSELING CENTER, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Oct 2002 (23 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 76374
Place of Formation: IDAHO
File Number: 76374
ZIP code: 83713
County: Ada County
Principal Address: 4172 N CRESWELL WAY BOISE, ID 83713
Mailing Address: ROSEMARY LUQUE 4172 N CRESWELL WAY BOISE, ID 83713-2403

Agent

Name Role Address
ROSEMARY LUQUE Agent 4172 CRESWELL WAY, BOISE, ID 83713

Manager

Name Role Address Appointed On Resigned On
Rosemary LaDacy Luque Manager 4172 NORTH CRESWELL WAY, BOISE, ID 83713 2024-09-03 No data
Rosemary L Luque Manager 4172 N CRESWELL WAY, BOISE, ID 83713 2020-11-05 2022-09-19

National Provider Identifier

NPI Number:
1962263897
Certification Date:
2024-02-02

Authorized Person:

Name:
ROSEMARY LADACY LUQUE
Role:
BUSINESS OWNER/PROVIDER
Phone:

Taxonomy:

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

Contacts:

Fax:
8333407217

Filing

Filing Name Filing Number Filing date
Annual Report 0005880113 2024-09-03
Dissolution/Revocation - Administrative 0005554390 2024-01-10
Application for Reinstatement 0005557194 2024-01-10
Annual Report 0004919561 2022-09-19
Annual Report 0004402115 2021-09-03

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Date of last update: 23 Jun 2025

Sources: Idaho Secretary of State