Provider Demographics
NPI:1538390133
Name:BEHAVIORAL HEALTH ASSOCIATES PLLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:LONGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-987-6200
Mailing Address - Street 1:19500 MIDDLEBELT RD
Mailing Address - Street 2:SUITE 350E
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2196
Mailing Address - Country:US
Mailing Address - Phone:248-987-6200
Mailing Address - Fax:
Practice Address - Street 1:19500 MIDDLEBELT RD
Practice Address - Street 2:SUITE 350E
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2196
Practice Address - Country:US
Practice Address - Phone:248-987-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty