Healthcare Provider Details

I. General information

NPI: 1497442081
Provider Name (Legal Business Name): ANGELICA HOYSAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 W MARKET ST
AKRON OH
44313-7000
US

IV. Provider business mailing address

637 SANFORD AVE
AKRON OH
44305-1743
US

V. Phone/Fax

Practice location:
  • Phone: 330-601-7979
  • Fax:
Mailing address:
  • Phone: 234-340-3748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.191516
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.006047
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: