| 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 |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2117463 | Business License | Active | 2020-11-18 | 2024-11-06 | 2026-12-31 | 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 |
|---|---|---|---|---|---|---|
| 169623 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-12-03 | 2020-12-03 | - |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
