Healthcare Provider Details

I. General information

NPI: 1962558015
Provider Name (Legal Business Name): BEHAVIORAL HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33316 HEAVENLY WAY STE 203
OCEAN VIEW DE
19970-3473
US

IV. Provider business mailing address

33316 HEAVENLY WAY STE 203
OCEAN VIEW DE
19970-3473
US

V. Phone/Fax

Practice location:
  • Phone: 302-567-1695
  • Fax: 302-616-3934
Mailing address:
  • Phone: 302-567-1695
  • Fax: 302-616-3934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY636
License Number StateHI

VIII. Authorized Official

Name: MELINDA ANN KOHR
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 302-567-1695