| Name: | Alaska Advanced Behavioral Health, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 27 Jul 2023 (a year ago) |
| Entity Number: | 10240628 |
| ZIP code: | 99762 |
| County: | Nome |
| Place of Formation: | ALASKA |
| Address: | 110 FRONT ST, SUITE 101, NOME, AK 99762-0005 |
| Mailing Address: | PO BOX 5, NOME, AK 99762-0005 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Garrick Fuller | Member |
| Garrick Fuller | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2195810 | Business License | Active | 2024-03-26 | - | 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 |
|---|---|---|---|---|---|---|
| 225818 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2024-06-20 | 2024-06-20 | - |
| 226280 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2024-06-20 | 2024-06-20 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
