Income related to Tele-mental health counseling out of state

[pannese]

I'm a licensed mental health professional in CT as well as VA and the Carolina's.  I have a LLC in CT.  I provide tele-mental health from my business off in CT and I'm considering expanding my tele-mental health business to VA and/or the Carolina's but I don't know if I have to register my business as a foreign entity.  I also don't know if I have to pay state income taxes to VA or the Carolina's if I expand and provide tele-mental health services.  Any insight or answers would be helpful.  Thank you.

[Bsch4477]

That is a complicated question and gets into licensing as well as tax issues. This might give you some background. 

https://www.zurinstitute.com/telehealth-across-state-lines/

[pannese]

Thanks.  The licensing isn't an issue.  I am licensed in all 3 states and the licensing boards have given me the green light.  

[Hal_Al]

You do not have to pay state income tax to  VA, NC, or SC  ( or file tax returns), if you do not physically work in those states.