Tywain Mc Tyer | Las Vegas, NV • PECOS Search

Tywain Mc Tyer

Counselor

Behavioral Health & Social Service Providers

1324 Robin St, Las Vegas, NV 89106-1951

PECOS Enrollment

Based on the most recent information from CMS, provider Tywain Mc Tyer 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 4 days ago.

Profile Details

Provider ID
1336573831
Provider Type
Individual
Full Name
Mc Tyer, Tywain
Gender
Male

Sole Proprietor
Yes
Enumeration Date
9/3/2013
Last Updated
9/3/2013

Contact Information

Practice Location

1324 Robin St, Las Vegas, NV 89106-1951

Unlisted Fax

Mailing Location

1324 Robin St, Las Vegas, NV 89106-1951

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer