| Name: | Fairbanks Community Mental Health Services, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 02 Sep 2013 (11 years ago) |
| Entity Number: | 10015079 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 1423 PEGER ROAD, FAIRBANKS, AK 99701 |
| Mailing Address: | 4020 FOLKER ST., ANCHORAGE, AK 99508 |
| Supporting healthcare providers fighting with COVID-19: | $8,572 |
Line of Business
62 Health Care and Social AssistanceNAICS
621112 OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS| Name | Role |
|---|---|
| Anchorage Community Mental Health Services. Inc. | Member |
| Jerry Jenkins | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 994136 | Business License | Active | 2013-09-02 | 2024-11-15 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621112 - OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 125323 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2017-07-31 | 2017-07-31 | - |
| Title | Date | Case Type | Status | Open |
|---|---|---|---|---|
| 3AN-23-00431PR In the Matter of Tisland, Robin Fairbanks Community Mental Health Services UG | 2023-02-10 | Protective Proceedings (3AN) | Open | Open Case Link |
| 4FA-17-00488PR In the Matter of Kissler, Carrie Fairbanks Community Mental Health Services JFK | 2017-09-20 | Protective Proceedings (4FA) | Closed | Open Case Link |
| 4FA-19-00303PR In the Matter of Von Ronceilier, Karla Fairbanks Community Mental Health Services PRL | 2019-07-10 | Protective Proceedings (4FA) | Closed | Open Case Link |
| 4FA-15-00712PR In the Matter of Tisland, Robin Fairbanks Community Mental Health Services PLH | 2015-12-11 | Protective Proceedings (4FA) | Closed | Open Case Link |
| 4FA-16-00574PR In the Matter of Burak, John M. Fairbanks Community Mental Health Services BH | 2016-10-19 | Protective Proceedings (4FA) | Closed | Open Case Link |
| 3AN-16-01388PR In the Matter of Smail, David Fairbanks Community Mental Health Services DRC | 2016-06-09 | Protective Proceedings (3AN) | Closed | Open Case Link |
| 4FA-19-00006PR In the Matter of O'Brien, Joseph S Fairbanks Community Mental Health Services EAP | 2019-01-04 | Protective Proceedings (4FA) | Reopened | Open Case Link |
| 4FA-16-00032PR In the Matter of Smail, David Fairbanks Community Mental Health Services PRL | 2016-01-21 | Protective Proceedings (4FA) | Closed | Open Case Link |
| 4FA-19-00138PR In the Matter of O'Brien, Michelle Fairbanks Community Mental Health Services PRL | 2019-04-01 | Protective Proceedings (4FA) | Closed | Open Case Link |
Date of last update: 01 Feb 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
