| Name: | Michelle L., LCSW, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 21 Jan 2020 (5 years ago) |
| Entity Number: | 10122861 |
| ZIP code: | 99669 |
| County: | Kenai Peninsula |
| Place of Formation: | ALASKA |
| Address: | 48510 WEST POPPY LANE, SOLDOTNA, AK 99669 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Michelle A. Lesagonicz | Manager |
| Michelle A. Lesagonicz | Member |
| Vellum Registered Agent Inc. | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2098335 | Business License | Active | 2020-01-21 | 2023-10-14 | 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 |
|---|---|---|---|---|---|---|
| 159502 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-24 | 2020-03-24 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
