OrganizationHale Koa Counseling Services LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4045 Spencer St Ste A48, Las Vegas, NV 89119-5245(702) 439-3215PECOS EnrollmentBased on the most recent information from CMS, provider Hale Koa Counseling Services Llc 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 ID1083351407Provider TypeOrganizationFull NameHale Koa Counseling Services LlcSubpartNoEnumeration Date5/17/2022Last Updated5/17/2022Contact InformationPractice LocationPractice Address4045 Spencer St Ste A48, Las Vegas, NV 89119-5245Phone(702) 439-3215FaxUnlisted FaxMailing LocationMailing Address4045 Spencer St Ste A48, Las Vegas, NV 89119-5245Phone(702) 439-3215FaxUnlisted FaxAuthorized OfficialNameVendeiro, Andrea (Clinical Therapist/Owner)Phone(702) 439-3215Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer