Provider Demographics
NPI:1902619323
Name:ADVOCATE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ADVOCATE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAYNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-879-8921
Mailing Address - Street 1:9381 E STOCKTON BLVD STE 214
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-5070
Mailing Address - Country:US
Mailing Address - Phone:916-879-8921
Mailing Address - Fax:
Practice Address - Street 1:4500 W ADAMS BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-3022
Practice Address - Country:US
Practice Address - Phone:916-879-8921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder