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Organization
BRAIN POWER LLC
Active
Organization
BRAIN POWER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T HARRIS (OWNER)
(213) 909-4082
Entity
Organization
Contact information
Practice address
740 N EASTERN AVE STE 100F, LAS VEGAS, NV 89101-2886
(213) 909-4082
Mailing address
740 N EASTERN AVE STE 100F, LAS VEGAS, NV 89101-2886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/12/2021
Last updated
05/13/2021
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