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NPI Code Detail

MEDICARE: MIKAYLA LI HARRIS

MEDICARE:   MIKAYLA LI HARRIS
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 CounselorCI5798NV

General Provider Information

NPI Number : 1992630891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAYLA LI HARRIS
Provider Business Mailing Address
First Line : 4045 SPENCER ST STE A48
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5245
Country : US
Telephone Number : 725-202-9340
Fax Number :
Provider Business Practice Location Address
First Line : 4045 SPENCER ST STE A48
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5245
Country : US
Telephone Number : 725-202-9340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ MIKAYLA LI HARRIS ” Practice Location

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