Missio Dei Enterprises LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MISSIO DEI ENTERPRISES LLC

Practice address

3648 Bella Legato Ave
North Las Vegas, NV 89081-4044

Phone

(702) 325-9226

NPI assigned

May 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenda Braam

Title

Owner

Phone

(702) 325-9226

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1265007306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 BELLA LEGATO AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 BELLA LEGATO AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814044",
            "telephone_number": "702-325-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIO DEI ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "BRAAM",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-325-9226"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mharris@thetherapeuticsolution.com",
            "affiliation": "Y",
            "endpointDescription": "7730 W Sahara Ave Suite 115 Las Vegas NV 89117",
            "affiliationName": "M Harris & Associates LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7730 W Sahara Ave Ste 115",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891172753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emerson Miranda
• Nerison Miranda, RN
• Diana Mireles, RBT
• Jennifer Mireles
• Issa Seyed Mirmehdi, M.D.
• Mission Family Services
• Andrae Mitchell
• Azanay Mitchell
• Brandon Mitchell
• James Mitchell, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.