| Name: | Kintsugi Counseling LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 18 Mar 2022 (3 years ago) |
| Entity Number: | 10190608 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 1867 AIRPORT WAY, SUITE 225, FAIRBANKS, AK 99701 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Vanessa Shannon | Member |
| Virginia Redmond | Member |
| Virginia Redmond | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2152616 | Business License | Active | 2022-03-21 | 2023-12-18 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621330 - OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 195404 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2022-05-18 | 2022-05-18 | - |
Date of last update: 25 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
