| Name: | Headwaters Wellness and Counseling LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 10 Jul 2015 (10 years ago) |
| Entity Number: | 10030741 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 250 CUSHMAN STREET, CHICAGO, AK 99701 |
| Mailing Address: | 250 CUSHMAN ST STE 5A, FAIRBANKS, AK 99701 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Elizabeth Pawelko | Member |
| Elizabeth Pawelko | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1024089 | Business License | Active | 2015-07-16 | 2024-11-11 | 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 |
|---|---|---|---|---|---|---|
| 159340 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-25 | 2020-03-25 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
