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NPI Code Detail

MEDICARE: TAMARA LASHAY HARRIS-BORJA

MEDICARE: TAMARA LASHAY HARRIS-BORJA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336091370
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA LASHAY HARRIS-BORJA
Provider Business Mailing Address
First Line : 720 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3614
Country : US
Telephone Number : 248-765-5674
Fax Number : 702-446-8034
Provider Business Practice Location Address
First Line : 720 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3614
Country : US
Telephone Number : 248-765-5674
Fax Number : 702-446-8034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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