DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FUENTE DE VIDA MENTAL HEALTH SERVICES

MEDICARE: FUENTE DE VIDA MENTAL HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316538465
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUENTE DE VIDA MENTAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 2545 CHANDLER AVE STE 7
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4007
Country : US
Telephone Number : 702-544-1638
Fax Number :
Provider Business Practice Location Address
First Line : 6402 MCLEOD DR STE 5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4406
Country : US
Telephone Number : 725-204-8809
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : PERLA SANCHEZ
Credential :
Telephone Number : 702-572-6379
Provider Enumeration Date : 02/01/2021
Last Update Date : 02/07/2025

Similar Medicare Providers

1790671352 — ALEJANDRA NALLELY OLIVARES HERNANDEZ
Practice Location Address:
6402 MCLEOD DR STE 5
LAS VEGAS, NV
89120-4406
Practice Phone: 725-204-8809
Practice Fax:
1205136348 — MARGARITA ROMANO LCSW
Practice Location Address:
6402 MCLEOD DR STE 5
LAS VEGAS, NV
89120-4406
Practice Phone: 725-204-8809
Practice Fax:
1295152650 — STEVEN ARCHER LCSW
Practice Location Address:
6402 MCLEOD DR STE 5
LAS VEGAS, NV
89120-4406
Practice Phone: 702-898-5311
Practice Fax: 702-222-3275
1518496314 — MS. SARAH ALSHAIKH
Practice Location Address:
6402 MCLEOD DR STE 5
LAS VEGAS, NV
89120-4406
Practice Phone: 702-898-5311
Practice Fax: 702-222-3275
1972166759 — MELISA CELIS CADC-I
Practice Location Address:
6402 MCLEOD DR STE 5
LAS VEGAS, NV
89120-4406
Practice Phone: 725-204-8809
Practice Fax:
1699331579 — ALEXIS KRISTINA LANE MSW
Practice Location Address:
6402 MCLEOD DR STE 5
LAS VEGAS, NV
89120-4406
Practice Phone: 702-898-5311
Practice Fax: 702-222-3275

Directions to “FUENTE DE VIDA MENTAL HEALTH SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.