| Name: | Eagle River Behavioral Health, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 20 Feb 2020 (5 years ago) |
| Entity Number: | 10125443 |
| ZIP code: | 99577 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 12812 OLD GLENN HWY, C4, ANCHORAGE, AK 99577 |
| Mailing Address: | PO BOX 770870, ANCHORAGE, AK 99577 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Zan Whitman | Member |
| Zan Whitman | Registered Agent |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2179582 | Active | 2023-05-01 | 2023-10-04 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621330 - OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS) |
| Telemedicine Business Registry | 159593 | Active | 2020-03-25 | - | - | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
