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Organization
FDV WELLNESS CENTER
Active
Organization
FDV WELLNESS CENTER
Active
Other names
Fuente de Vida
Organization subpart
No
Provider details
NPI number
Authorized official
PERLA SANCHEZ (COO)
(725) 204-8809
Entity
Organization
Contact information
Practice address
6402 MCLEOD DR STE 5, LAS VEGAS, NV 89120-4406
(725) 204-8809
Mailing address
6402 MCLEOD DR STE 5, LAS VEGAS, NV 89120-4406
(725) 204-8809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
225400000X
Rehabilitation Practitioner
—
NULL
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/05/2023
Last updated
01/20/2026
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