Healthcare Provider Details
I. General information
NPI: 1205005980
Provider Name (Legal Business Name): BEHAVIORAL HEALTH INSTITUTE INC (SINGH) PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2008
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 S RANCHO DR STE D34
LAS VEGAS NV
89106-4874
US
IV. Provider business mailing address
PO BOX 30248
LAS VEGAS NV
89173
US
V. Phone/Fax
- Phone: 702-852-6633
- Fax: 702-749-6255
- Phone: 702-487-7055
- Fax: 702-991-7258
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AMITABH
SINGH
Title or Position: CEO
Credential: M.D.
Phone: 702-253-1173