Healthcare Provider Details

I. General information

NPI: 1093661910
Provider Name (Legal Business Name): VIOLET MONIQUE SALDIVAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3067 E WARM SPRINGS RD STE 100
LAS VEGAS NV
89120-3750
US

IV. Provider business mailing address

9634 BRUSCHI RIDGE CT
LAS VEGAS NV
89149-1334
US

V. Phone/Fax

Practice location:
  • Phone: 702-202-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: