Provider Demographics
NPI:1164947826
Name:ANDLIA RESOURCES LLC
Entity Type:Organization
Organization Name:ANDLIA RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAYKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-975-0089
Mailing Address - Street 1:861 W MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2015
Mailing Address - Country:US
Mailing Address - Phone:866-973-6275
Mailing Address - Fax:
Practice Address - Street 1:861 W MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2015
Practice Address - Country:US
Practice Address - Phone:866-973-6275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports BrokerageGroup - Multi-Specialty