Provider Demographics
NPI:1184355711
Name:BEHAVIORAL HEALTH AND PSYCHOTHERAPY SERVICES, LLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH AND PSYCHOTHERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:CHIDI
Authorized Official - Last Name:UMEH
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:310-500-9312
Mailing Address - Street 1:2101 W WARM SPRINGS RD APT 3317
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-5517
Mailing Address - Country:US
Mailing Address - Phone:951-375-7893
Mailing Address - Fax:951-375-7893
Practice Address - Street 1:2101 W WARM SPRINGS RD APT 3317
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-5517
Practice Address - Country:US
Practice Address - Phone:951-375-7893
Practice Address - Fax:951-375-7893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty