Individual ProviderRaquel LaraCounselorBehavioral Health & Social Service ProvidersPractice Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898(702) 437-4673PECOS EnrollmentBased on the most recent information from CMS, provider Raquel Lara 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 ID1184359291Provider TypeIndividualFull NameLara, RaquelGenderFemaleSole ProprietorNoEnumeration Date7/21/2022Last Updated7/21/2022Contact InformationPractice LocationPractice Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898Phone(702) 437-4673Fax(702) 438-4673Mailing LocationMailing Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898Phone(702) 437-4673Fax(702) 438-4673Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer