| Name: | Headwaters Wellness and Counseling LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 10 Jul 2015 (10 years ago) |
| Entity Number: | 10030741 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 250 CUSHMAN STREET, CHICAGO, AK 99701 |
| Mailing Address: | 250 CUSHMAN ST STE 5A, FAIRBANKS, AK 99701 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Elizabeth Pawelko | Member |
| Elizabeth Pawelko | Registered Agent |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 1024089 | Active | 2015-07-16 | 2023-01-31 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621330 - OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS) |
| Telemedicine Business Registry | 159340 | Active | 2020-03-25 | - | - | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
