Provider Demographics
NPI:1568183671
Name:MENA-ORTIZ, KARLA D (LMFT)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:D
Last Name:MENA-ORTIZ
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 1:1000 CAUGHLIN XING STE 55
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0621
Mailing Address - Country:US
Mailing Address - Phone:775-391-0627
Mailing Address - Fax:
Practice Address - Street 1:537 RALSTON ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4434
Practice Address - Country:US
Practice Address - Phone:775-686-9607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5081106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist