Organization
FUENTE DE VIDA MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERLA SANCHEZ (MANAGER)
(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
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250013637
—
NV
Enumeration date
02/01/2021
Last updated
01/20/2026
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