SANDRA PIERRE LOUIS DIVINE SOUL MENTAL HEALTH PIERRE-LOUIS PLLC

Provider Demographics

• NPI: 1992567606
• Name: SANDRA PIERRE LOUIS DIVINE SOUL MENTAL HEALTH PIERRE-LOUIS PLLC
• Entity type: Organization
• Organization Name: SANDRA PIERRE LOUIS DIVINE SOUL MENTAL HEALTH PIERRE-LOUIS PLLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: FOUNDER & CEO
• Authorized Official - Prefix: DR
• Authorized Official - First Name: SANDRA
• Authorized Official - Middle Name: L
• Authorized Official - Last Name: PIERRE-LOUIS
• Authorized Official - Credentials: DNP, APRN, PMHNP-BC
• Authorized Official - Phone: 702-843-5015
• Mailing Address - Street 1: 9620 LAS VEGAS BLVD S STE E4
• Mailing Address - City: LAS VEGAS
• Mailing Address - State: NV
• Mailing Address - Zip Code: 89123-6508
• Mailing Address - Country: US
• Mailing Address - Phone: 702-843-5015
• Mailing Address - Fax: 702-843-6045
• Practice Address - Street 1: 9550 S EASTERN AVE STE 220
• Practice Address - City: LAS VEGAS
• Practice Address - State: NV
• Practice Address - Zip Code: 89123-8045
• Practice Address - Country: US
• Practice Address - Phone: 702-843-5015
• Practice Address - Fax: 702-843-6045
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2024-01-29
• Last Update Date: 2025-08-12

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)	Group - Multi-Specialty
No	251S00000X	Agencies	Community/Behavioral Health
No	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center	Adult Mental Health
No	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center	Adolescent and Children Mental Health
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Multi-Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty