| Name: | Evidence-Based Psychological Services, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 05 Oct 2021 (3 years ago) |
| Entity Number: | 10175410 |
| ZIP code: | 99615 |
| County: | Kodiak Island |
| Place of Formation: | ALASKA |
| Address: | 104 CENTER ST STE 200, KODIAK, AK 99615 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Anna Stevens | Member |
| Anna Stevens | Manager |
| Anna Stevens | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2141426 | Business License | Active | 2021-10-13 | 2024-01-03 | 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 |
|---|---|---|---|---|---|---|
| 187500 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2022-02-08 | 2021-12-01 | - |
Date of last update: 10 Feb 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
