Provider Demographics
NPI:1033305412
Name:AREVALO, SOUNEH (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SOUNEH
Middle Name:
Last Name:AREVALO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8306 TIME MACHINE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-6165
Mailing Address - Country:US
Mailing Address - Phone:702-970-3535
Mailing Address - Fax:702-441-0915
Practice Address - Street 1:1070 W HORIZON RIDGE PKWY STE 210
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-6020
Practice Address - Country:US
Practice Address - Phone:702-970-3535
Practice Address - Fax:702-441-0915
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01423101YM0800X, 106H00000X
CA53639106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health