Organization
HOMEBASE CARE CASAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYA BEUOKAGHAEI (CREDENTIALING SUPERVISOR)
(702) 410-7825
Entity
Organization
Contact information
Practice address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 410-7825
Mailing address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 410-7825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
10/27/2023
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