MEDICARE: BEHAVIORAL HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility	190007SN	CA

General Provider Information

NPI Number	:	1912257163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	15519 CRENSHAW BLVD
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90249-4525
Country	:	US
Telephone Number	:	310-679-9126
Fax Number	:	310-679-2920

Provider Business Practice Location Address
First Line	:	615 ELM AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-1406
Country	:	US
Telephone Number	:	562-435-7350
Fax Number	:	562-435-4532

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. HENRY VAN OUDHEUSDEN
Credential	:	MA, MSW
Telephone Number	:	310-679-9126

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	09/14/2012

Similar Medicare Providers

1427541580 — ELVIRA GONZALEZ
Practice Location Address:

615 ELM AVE
LONG BEACH, CA
90802-1406

Practice Phone: 562-435-7350
Practice Fax:

1912617523 — ASHLEY LATRICE DIXON
Practice Location Address:

615 ELM AVE
LONG BEACH, CA
90802-1406

Practice Phone: 424-368-4020
Practice Fax:

1104691963 — ASHLEY BERRY
Practice Location Address:

615 ELM AVE
LONG BEACH, CA
90802-1406

Practice Phone: 562-435-7350
Practice Fax:

1255342473 — HY TIEP PHAM DDS
Practice Location Address:

1406 ATLANTIC AVE
LONG BEACH, CA
90813

Practice Phone: 562-599-6677
Practice Fax: 562-599-0403

1730417791 — MICHELE L WEIRBACK ACNP
Practice Location Address:

3116 E 5TH ST
LONG BEACH, CA
90814-1406

Practice Phone: 562-434-0196
Practice Fax:

1043945132 — GOLDEN GROVES RESIDENTIAL CARE LLC
Practice Location Address:

2841 GOLDEN AVE
LONG BEACH, CA
90806-1406

Practice Phone: 562-426-8989
Practice Fax: 562-306-1135

Directions to “BEHAVIORAL HEALTH SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.