Organization
ATENEA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRA VEGA CASTRO (MANAGER)
(702) 788-6219
Entity
Organization
Contact information
Practice address
5042 SHADOW BOXER CT, LAS VEGAS, NV 89142-1767
(702) 788-6219
Mailing address
5042 SHADOW BOXER CT, LAS VEGAS, NV 89142-1767
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660890
—
NV
Enumeration date
03/30/2022
Last updated
03/30/2022
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