| Name: | Alaska Telepsychology, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 22 Jan 2018 (7 years ago) |
| Entity Number: | 10076539 |
| ZIP code: | 99517 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 2804 WEST NORTHERN LIGHTS BLVD SUITE 280, ANCHORAGE, AK 99517 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| DANIELLE ALLEN | Member |
| CATHY VON HIPPEL | Member |
| MAX VON HIPPEL | Member |
| SAMMY MACK | Member |
| DLG SERVICES, INC. | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALASKA TELEPSYCHOLOGY 401(K) RETIREMENT PLAN | 2023 | 824137251 | 2024-02-21 | 10 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-02-21 |
| Name of individual signing | DANIELLE ALLEN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Sponsor | ALASKA TELEPSYCHOLOGY |
| Business code | 621112 |
| Sponsor’s telephone number | 9078856288 |
| Plan sponsor’s address | 2804 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99516 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-22 |
| Name of individual signing | DANIELLE ALLEN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Sponsor | ALASKA TELEPSYCHOLOGY |
| Business code | 621112 |
| Sponsor’s telephone number | 9078856288 |
| Plan sponsor’s address | 2804 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99516 |
Signature of
| Role | Plan administrator |
| Date | 2022-02-06 |
| Name of individual signing | DANIELLE ALLEN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Sponsor | ALASKA TELEPSYCHOLOGY |
| Business code | 621112 |
| Sponsor’s telephone number | 9078856288 |
| Plan sponsor’s address | 2804 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99516 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-01 |
| Name of individual signing | DANIELLE ALLEN |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2126165 | Business License | Active | 2021-03-04 | 2024-12-29 | 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 |
|---|---|---|---|---|---|---|
| 134362 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2018-05-31 | 2018-05-31 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
