Individual ProviderTiffany WaahilaCounselorBehavioral Health & Social Service ProvidersPractice Address98 E Lake Mead Pkwy, Henderson, NV 89015-5540(702) 433-3038(808) 896-1318PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Waahila does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1003702044Provider TypeIndividualFull NameWaahila, TiffanyGenderFemaleSole ProprietorNoEnumeration Date6/16/2025Last Updated6/16/2025Contact InformationPractice LocationPractice Address98 E Lake Mead Pkwy, Henderson, NV 89015-5540Phone(702) 433-3038FaxUnlisted FaxMailing LocationMailing Address98 E Lake Mead Pkwy Ste 301, Henderson, NV 89015-6444Phone(808) 896-1318FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI5549Nevada