Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kingdom Behavioral Health, Inc

Organization Social Worker · NPI 1114259355

Kingdom Behavioral Health, Inc is a Social Worker in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2010.

Licensed in
NV
In the registry since
2010
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4085 N Rancho Dr Ste 120
Las Vegas, NV 89130-3467
Phone: (702) 349-8258
Fax: (702) 543-3124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5530-C (NV)
Social Worker Taxonomy 104100000X · Licence 5530-C (NV)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 5530-C (NV)

Record details

NPI number1114259355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Willie Johnson — Director · (702) 349-8258
NPI enumeratedFebruary 11, 2010
Last updated in NPPESMarch 22, 2011
Mailing address4085 N Rancho Dr Ste 120, Las Vegas, NV 89130-3467

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