Look up the most recent NPI and PECOS records

Counseling And Neuro Dynamics Llc

(<Unavail>)

Counselor

Behavioral Health & Social Service Providers

6655 W Sahara Ave # 106, Las Vegas, NV 89146-0842

(773) 619-2001

PECOS Enrollment

Based on the most recent information from CMS, provider Counseling And Neuro Dynamics Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1063075513
Provider Type
Organization
Full Name
Counseling And Neuro Dynamics Llc
Other Name
<Unavail>

Subpart
No
Enumeration Date
4/19/2019
Last Updated
6/7/2021

Contact Information

Practice Location

6655 W Sahara Ave # 106, Las Vegas, NV 89146-0842

(773) 619-2001

Unlisted Fax

Mailing Location

5940 S Rainbow Blvd Ste 1004, Las Vegas, NV 89118-2506

(773) 619-2001

Unlisted Fax

Authorized Official

Verse, Devone (Executive Director)

(773) 619-2001

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 246ZE0600X	Description Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers	License Unlisted Issuer
Code 251S00000X	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID NV20191302412	Description Other	Issuer NEVADA BUSINESS LICENSE Nevada

Counseling And Neuro Dynamics Llc

(<Unavail>)

PECOS Enrollment

Profile Details

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Authorized Official

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