NPIMap

Organization Active NPI

FDV Wellness Center

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1134813991
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FDV WELLNESS CENTER
Practice address
6402 McLeod Dr Ste 5
Las Vegas, NV 89120-4406
Phone
(725) 204-8809
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Perla Sanchez
Title
Coo
Phone
(725) 204-8809

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X

Addresses

Primary practice location

6402 McLeod Dr Ste 5
Las Vegas, NV 89120-4406

Mailing address

6402 McLeod Dr Ste 5
Las Vegas, NV 89120-4406
Phone (725) 204-8809

Other names 1

  • Fuente de Vida Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Chandler Ave
Ste 3
Las Vegas, NV 89120
Phone (725) 204-8809

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1134813991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 MCLEOD DR STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204406",
            "telephone_number": "725-204-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 MCLEOD DR STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204406",
            "telephone_number": "725-204-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDV WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "PERLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "725-204-8809"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuente de Vida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fuente de Vida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.