| Name: | BoreTide Behavioral Health LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 16 Nov 2020 (4 years ago) |
| Entity Number: | 10147680 |
| ZIP code: | 99503 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3300 ARCTIC BLVD STE 201, ANCHORAGE, AK 99503 |
| Mailing Address: | 3300 ARCTIC BLVD STE 201 PMB 1279, ANCHORAGE, AK 99503 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Kelly Moore | Member |
| Registered Agents Inc | Registered Agent |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2117463 | Active | 2020-11-18 | 2022-11-09 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621330 - OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS) |
| Telemedicine Business Registry | 169623 | Active | 2020-12-03 | - | - | - |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
