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Organization

M.C.A ENTERPRISES PROFESSIONAL LLC

Active
Parent organization
M.C.A ENTERPRISES PROFESSIONAL LLC
Other names
Self Care Health Services LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
M.C.A ENTERPRISES PROFESSIONAL LLC
Authorized official
AUDREENA HARRIS (DIRECTOR)
(702) 403-7997
Entity
Organization

Contact information

Practice address
7495 W AZURE DR STE 256, LAS VEGAS, NV 89130-4417
(702) 403-7997
Mailing address
7495 W AZURE DR STE 256, LAS VEGAS, NV 89130-4417
(702) 403-7997

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103K00000X
Behavior Analyst
103TB0200X
Cognitive & Behavioral Psychologist
103TH0100X
Health Service Psychologist
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
163WP0808X
Psychiatric/Mental Health Registered Nurse
172V00000X
Community Health Worker
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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