Individual ProviderNelcy Yohanna Tamayo ManriqueMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704(760) 243-5417(760) 245-4695PECOS EnrollmentBased on the most recent information from CMS, provider Nelcy Yohanna Tamayo Manrique 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 ID1154714855Provider TypeIndividualFull NameTamayo Manrique, Nelcy YohannaGenderFemaleSole ProprietorYesEnumeration Date3/5/2015Last Updated3/6/2025Contact InformationPractice LocationPractice Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704Phone(760) 243-5417FaxUnlisted FaxMailing LocationMailing Address15400 Cholame Rd, Victorville, CA 92392-2480Phone(760) 245-4695FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense149378CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer