| Name: | Borealis Behavioral Health, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 26 Jun 2012 (13 years ago) |
| Entity Number: | 10006609 |
| ZIP code: | 99645 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 634 S. BAILEY #207, PALMER, AK 99645 |
| Supporting healthcare providers fighting with COVID-19: | $1,384 |
Line of Business
62 Health Care and Social AssistanceNAICS
621420 OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS| Name | Role |
|---|---|
| Jana Miner Collins | Registered Agent |
| JANA MINER-COLLINS | Manager |
| JANA MINER-COLLINS | Member |
| MICHAEL JOHNDRO | Member |
| TRACY FREER | Member |
| ERIN ROCKEY | Member |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 977959 | Business License | Active | 2012-08-16 | 2024-12-18 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621420 - OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 159775 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-27 | 2020-03-27 | - |
Date of last update: 31 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
