Provider Demographics
NPI:1962558015
Name:BEHAVIORAL HEALTH CENTER, INC.
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOHR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:302-567-1695
Mailing Address - Street 1:33316 HEAVENLY WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:DE
Mailing Address - Zip Code:19970-3473
Mailing Address - Country:US
Mailing Address - Phone:302-567-1695
Mailing Address - Fax:302-616-3934
Practice Address - Street 1:33316 HEAVENLY WAY STE 203
Practice Address - Street 2:
Practice Address - City:OCEAN VIEW
Practice Address - State:DE
Practice Address - Zip Code:19970-3473
Practice Address - Country:US
Practice Address - Phone:302-567-1695
Practice Address - Fax:302-616-3934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY636103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00A0217719OtherHMSA QUEST
HI50138903Medicaid
HI50138904Medicaid
HI217075OtherSUMMERLIN (HMN)
HIA217719OtherHMSA
HIPSY-636OtherMDX