| Name: | Mike Kolasa LPC, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 29 Aug 2017 (7 years ago) |
| Entity Number: | 10067100 |
| ZIP code: | 99709 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 600 UNIVERSITY SUITE 5, FAIRBANKS, AK 99709 |
| Mailing Address: | PO BOX 72461, FAIRBANKS, AK 99707-2461 |
Line of Business
62 Health Care and Social AssistanceNAICS
621330 OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)| Name | Role |
|---|---|
| Mike Kolasa | Member |
| Mike Kolasa | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1059869 | Business License | Active | 2017-09-11 | 2022-12-06 | 2024-12-31 | 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 |
|---|---|---|---|---|---|---|
| 159560 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-29 | 2020-03-29 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
