Provider Demographics
NPI:1871336545
Name:AKOYA BEHAVIORAL & COMPLEMENTARY HEALTH CARE PLLC
Entity type:Organization
Organization Name:AKOYA BEHAVIORAL & COMPLEMENTARY HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:YENTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-269-9767
Mailing Address - Street 1:18 BLACK CAT RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3506
Mailing Address - Country:US
Mailing Address - Phone:781-269-9767
Mailing Address - Fax:
Practice Address - Street 1:57 RT 6A
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-2409
Practice Address - Country:US
Practice Address - Phone:781-269-9767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty