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 provides Social Worker services 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 Not confirmed with CMS for 15 years — call before visiting
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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