Organization
KINGDOM BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE EDWARD JOHNSON LCSW (DIRECTOR)
(702) 349-8258
Entity
Organization
Contact information
Practice address
4085 N RANCHO DR STE 120, LAS VEGAS, NV 89130-3467
(702) 349-8258
(702) 543-3124
Mailing address
4085 N RANCHO DR STE 120, LAS VEGAS, NV 89130-3467
(702) 836-1905
(702) 836-1904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5530-C
NV
1041C0700X
Clinical Social Worker
Primary
5530-C
NV
251S00000X
Community/Behavioral Health Agency
5530-C
NV
Other
Enumeration date
02/11/2010
Last updated
03/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us