# CENTRO YOLITIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003553678
- **Authorized official:** DR. GERARDO WENCE-MUNOZ LCPC (CLINICAL DIRECTOR/OWNER)
- **Authorized official phone:** (702) 292-7026

## Contact information

- **Practice address:** 3450 E RUSSELL RD STE 104, LAS VEGAS, NV 89120-2201
- **Practice address phone:** (702) 292-7026
- **Mailing address:** 3450 E RUSSELL RD STE 104, LAS VEGAS, NV 89120-2201
- **Mailing address phone:** (702) 292-7026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 101YS0200X | School Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | — | — |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 05/16/2022