Katisha Daniel | Las Vegas, NV • PECOS Search

Katisha Daniel

Counselor

Behavioral Health & Social Service Providers

6171 W Charleston Blvd, Las Vegas, NV 89146-1126

PECOS Enrollment

Based on the most recent information from CMS, provider Katisha Daniel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265979363
Provider Type
Individual
Full Name
Daniel, Katisha
Gender
Female

Sole Proprietor
Yes
Enumeration Date
1/26/2017
Last Updated
1/26/2017

Contact Information

Practice Location

6171 W Charleston Blvd, Las Vegas, NV 89146-1126

Unlisted Fax

Mailing Location

6171 W Charleston Blvd, Las Vegas, NV 89146-1126

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 18 007609 New York