Provider Demographics
NPI:1891235008
Name:GYHE LLC
Entity type:Organization
Organization Name:GYHE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAKURAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-460-9190
Mailing Address - Street 1:2764 N GREEN VALLEY PKWY
Mailing Address - Street 2:#261
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2120
Mailing Address - Country:US
Mailing Address - Phone:702-460-9190
Mailing Address - Fax:
Practice Address - Street 1:2764 N GREEN VALLEY PKWY
Practice Address - Street 2:#261
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2120
Practice Address - Country:US
Practice Address - Phone:702-460-9190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health