Provider Demographics
NPI:1437799350
Name:AYUDA HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:AYUDA HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIANCARLO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-972-6393
Mailing Address - Street 1:2600 COLE AVE APT 408
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-4023
Mailing Address - Country:US
Mailing Address - Phone:917-244-4107
Mailing Address - Fax:
Practice Address - Street 1:2600 COLE AVE APT 408
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-4023
Practice Address - Country:US
Practice Address - Phone:917-244-4107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty