# SOURCE ENERGY CONSULTANT SERVICES LLC

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

## Provider details

- **NPI number:** 1841067691
- **Authorized official:** MS. ALTAMIT LEWIS LCPC (CEO)
- **Authorized official phone:** (702) 499-6401

## Contact information

- **Practice address:** 800 N RAINBOW BLVD STE 208, LAS VEGAS, NV 89107-1193
- **Practice address phone:** (800) 493-0172
- **Practice address fax:** (800) 493-0172
- **Mailing address:** 800 N RAINBOW BLVD STE 208, LAS VEGAS, NV 89107-1193
- **Mailing address phone:** (800) 493-0172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 12/11/2023
