Healthcare Provider Details
I. General information
NPI: 1538390133
Provider Name (Legal Business Name): BEHAVIORAL HEALTH ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2009
Last Update Date: 08/01/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24333 SOUTHFIELD ROAD SUITE 103
SOUTHFIELD MI
48075
US
IV. Provider business mailing address
24333 SOUTHFIELD ROAD SUITE 103
SOUTHFIELD MI
48075
US
V. Phone/Fax
- Phone: 248-987-6200
- Fax:
- Phone: 248-809-6732
- Fax: 248-809-6734
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CURTIS
OLIVER
LONGS
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 248-219-5020