| Name: | Impavid Mental Health, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 24 Apr 2020 (5 years ago) |
| Entity Number: | 10130520 |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 5431 EAST MAYFLOWER LANE SUITE 4, WASILLA, AK 99654 |
| Mailing Address: | PO BOX 870777, WASILLA, AK 99687 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Adriana Hernandez | Member |
| Vellum Registered Agent Inc. | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2103533 | Business License | Active | 2020-04-24 | 2023-10-05 | 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 |
|---|---|---|---|---|---|---|
| 171698 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2021-04-13 | 2021-04-13 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
