# FUNDAMENTALS FITNESS & MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1255214250
- **Authorized official:** MELINA SANCHEZ MARTINEZ LCSW (LICENSE CLINICAL SOCIAL WORKER,CEO)
- **Authorized official phone:** (909) 754-3952

## Contact information

- **Practice address:** 3955 EAST OWENS AVE, SUITE 120-130, LAS VEGAS, NV 89110
- **Practice address phone:** (909) 754-3952
- **Mailing address:** 304 S JONES BLVD \# 7716, LAS VEGAS, NV 89107-2623
- **Mailing address phone:** (909) 754-3952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/28/2025
- **Last updated:** 07/28/2025