Provider Demographics
NPI:1003370032
Name:DEHAVEN BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:DEHAVEN BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-247-4445
Mailing Address - Street 1:3100 MILL ST STE 218
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2217
Mailing Address - Country:US
Mailing Address - Phone:775-247-4447
Mailing Address - Fax:775-507-7079
Practice Address - Street 1:3100 MILL ST STE 218
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2217
Practice Address - Country:US
Practice Address - Phone:775-247-4447
Practice Address - Fax:775-507-7079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness