Provider Demographics
NPI:1518613710
Name:DARKHEART APOCATHERY
Entity Type:Organization
Organization Name:DARKHEART APOCATHERY
Other - Org Name:DARKHEART DISPENSARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEAD NATUROPATHIC PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHKYE
Authorized Official - Middle Name:ASSYRIAN
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:NMD, SMN, OLO, NESP
Authorized Official - Phone:330-356-7024
Mailing Address - Street 1:519 5TH ST SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-6519
Mailing Address - Country:US
Mailing Address - Phone:330-222-3200
Mailing Address - Fax:
Practice Address - Street 1:519 5TH ST SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-6519
Practice Address - Country:US
Practice Address - Phone:330-222-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Multi-Specialty