Kingdom Behavioral Health, Inc

LBN: Kingdom Behavioral Health, Inc
Kingdom Behavioral Health, Inc is an health care organization with primary practice located at 4085 N Rancho Dr Ste 120 , Las Vegas NV 89130-3467. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Kingdom Behavioral Health, Inc can be contacted via phone (702) 349-8258, or through Johnson, Willie Edward via phone (702) 349-8258.

Contact Information

Primary practice address
4085 N Rancho Dr Ste 120 Las Vegas NV 89130-3467
Fax: (702) 543-3124
Website:
Authorized official contact:
Name: Johnson, Willie Edward Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5530-C Nevada
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5530-C Nevada
Agencies / Community/Behavioral Health 251S00000X 5530-C Nevada

Profile Details

NPI number 1114259355
LBN Legal business name Kingdom Behavioral Health, Inc
DBA Doing business as
Authorized official Johnson, Willie Edward Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2010
Last updated Mar 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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