| Name: | Christine Sam, MS, LPC, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 28 Jan 2015 (10 years ago) |
| Entity Number: | 10026576 |
| ZIP code: | 99501 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 1212 H STREET, ANCHORAGE, AK 99501 |
| Mailing Address: | PO BOX 140984, ANCHORAGE, AK 99514 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Christine Sam, MS, LPC | Member |
| MB SERVICES, INC. | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1015968 | Business License | Active | 2015-01-28 | 2023-12-12 | 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 |
|---|---|---|---|---|---|---|
| 159426 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-26 | 2020-03-26 | - |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
