Individual ProviderAdrian MoldovanCounselorBehavioral Health & Social Service ProvidersPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-10671702445565PECOS EnrollmentBased on the most recent information from CMS, provider Adrian Moldovan 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 ID1104303445Provider TypeIndividualFull NameMoldovan, AdrianGenderMaleSole ProprietorNoEnumeration Date7/19/2018Last Updated7/19/2018Contact InformationPractice LocationPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067Phone1702445565FaxUnlisted FaxMailing LocationMailing Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067Phone1702445565FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2101488097DescriptionOtherIssuerDRIVERS LICENSENevada