Individual ProviderTaylor ConcepcionCounselorBehavioral Health & Social Service ProvidersPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067(702) 437-4673PECOS EnrollmentBased on the most recent information from CMS, provider Taylor Concepcion 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 ID1225522030Provider TypeIndividualFull NameConcepcion, TaylorGenderFemaleSole ProprietorYesEnumeration Date6/15/2018Last Updated6/15/2018Contact InformationPractice LocationPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067Phone(702) 437-4673FaxUnlisted FaxMailing LocationMailing Address8132 Bay Pines Ave, Las Vegas, NV 89128-6769PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer