Individual ProviderEunice Judith MckinnonCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126(702) 486-5091PECOS EnrollmentBased on the most recent information from CMS, provider Eunice Judith Mckinnon 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 ID1225416217Provider TypeIndividualFull NameMckinnon, Eunice JudithGenderFemaleSole ProprietorNoEnumeration Date5/11/2015Last Updated1/10/2023Contact InformationPractice LocationPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 486-5091FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI5041NevadaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1225416217DescriptionMedicaidIssuerUnlistedNevada