# FUENTE DE VIDA MENTAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1316538465
- **Authorized official:** PERLA SANCHEZ (MANAGER)
- **Authorized official phone:** (725) 204-8809

## Contact information

- **Practice address:** 6402 MCLEOD DR STE 5, LAS VEGAS, NV 89120-4406
- **Practice address phone:** (725) 204-8809
- **Mailing address:** 6402 MCLEOD DR STE 5, LAS VEGAS, NV 89120-4406
- **Mailing address phone:** (725) 204-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2021
- **Last updated:** 01/20/2026