Individual ProviderCathleen Anne GillenCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126(702) 486-6166(702) 277-5357PECOS EnrollmentBased on the most recent information from CMS, provider Cathleen Anne Gillen 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 ID1184926883Provider TypeIndividualFull NameGillen, Cathleen AnneTitleMs.GenderFemaleSole ProprietorYesEnumeration Date12/1/2010Last Updated12/1/2010Contact InformationPractice LocationPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 486-6166FaxUnlisted FaxMailing LocationMailing Address223 Spectacular St, Henderson, NV 89052-5667Phone(702) 277-5357FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer