Individual ProviderDestiny MosleySocial WorkerBehavioral Health & Social Service ProvidersPractice Address1771 E Flamingo Rd, Las Vegas, NV 89119-5155(702) 331-0321(702) 518-5166PECOS EnrollmentBased on the most recent information from CMS, provider Destiny Mosley is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1124440029Provider TypeIndividualFull NameMosley, DestinyTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date1/10/2014Last Updated7/2/2024Contact InformationPractice LocationPractice Address1771 E Flamingo Rd, Las Vegas, NV 89119-5155Phone(702) 331-0321FaxUnlisted FaxMailing LocationMailing Address304 S Jones Blvd # 7797, Las Vegas, NV 89107-2623Phone(702) 518-5166FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense10504-CNevadaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09929813Colorado