Individual ProviderColby Lamar CooksonCounselorBehavioral Health & Social Service ProvidersPractice Address5763 W Oakey Blvd, Las Vegas, NV 89146-1248(702) 968-5001PECOS EnrollmentBased on the most recent information from CMS, provider Colby Lamar Cookson 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 2 days ago.Profile DetailsProvider ID1063711059Provider TypeIndividualFull NameCookson, Colby LamarGenderMaleSole ProprietorYesEnumeration Date3/16/2011Last Updated3/16/2011Contact InformationPractice LocationPractice Address5763 W Oakey Blvd, Las Vegas, NV 89146-1248Phone(702) 968-5001Fax(702) 968-5004Mailing LocationMailing Address5763 W Oakey Blvd, Las Vegas, NV 89146-1248Phone(702) 968-5001Fax(702) 968-5004Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer