Crystal Lynn Sanders | Henderson, NV • PECOS Search

Crystal Lynn Sanders

Counselor

Behavioral Health & Social Service Providers

129 W Lake Mead Pkwy, Henderson, NV 89015-6954

PECOS Enrollment

Based on the most recent information from CMS, provider Crystal Lynn Sanders 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 4 days ago.

Profile Details

Provider ID
1124643515
Provider Type
Individual
Full Name
Sanders, Crystal Lynn
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/11/2020
Last Updated
6/11/2020

Contact Information

Practice Location

129 W Lake Mead Pkwy, Henderson, NV 89015-6954

Unlisted Fax

Mailing Location

142 Trumphet Lilly Ave, Las Vegas, NV 89183-5575

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer