Provider Demographics
NPI:1003307695
Name:HIGHER HEIGHTS BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:HIGHER HEIGHTS BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVETTE
Authorized Official - Middle Name:ELVINA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-236-8622
Mailing Address - Street 1:5685 ADAVAN CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-3966
Mailing Address - Country:US
Mailing Address - Phone:916-236-8622
Mailing Address - Fax:
Practice Address - Street 1:5685 ADAVAN CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-3966
Practice Address - Country:US
Practice Address - Phone:916-236-8622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-20
Last Update Date:2018-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness