Provider Demographics
NPI:1457535809
Name:HYAK HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:HYAK HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:V
Authorized Official - Last Name:CHIERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-302-3483
Mailing Address - Street 1:3600 PRYTANIA ST
Mailing Address - Street 2:SUITE 30
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3628
Mailing Address - Country:US
Mailing Address - Phone:504-899-8995
Mailing Address - Fax:504-899-8996
Practice Address - Street 1:3600 PRYTANIA ST
Practice Address - Street 2:SUITE 30
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3628
Practice Address - Country:US
Practice Address - Phone:504-899-8995
Practice Address - Fax:504-899-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)