# PHOENIX MENTAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHOENIX MENTAL HEALTH, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891437687
- **Authorized official:** AYMARA VALLADARES (PRESIDENT)
- **Authorized official phone:** (702) 487-3242

## Contact information

- **Practice address:** 7730 W CHEYENNE AVE STE 114, LAS VEGAS, NV 89129-8412
- **Practice address phone:** (702) 487-3242
- **Practice address fax:** (702) 508-4101
- **Mailing address:** 3269 GRAYSON LAKE CT, LAS VEGAS, NV 89129-6614
- **Mailing address phone:** (702) 867-1765

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2022
- **Last updated:** 10/16/2023