Individual ProviderTiauna Louise WhiteCounselorBehavioral Health & Social Service ProvidersPractice Address1956 Walker St, Las Vegas, NV 89106-2657(702) 806-9410PECOS EnrollmentBased on the most recent information from CMS, provider Tiauna Louise White 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 4 days ago.Profile DetailsProvider ID1396007464Provider TypeIndividualFull NameWhite, Tiauna LouiseGenderFemaleSole ProprietorYesEnumeration Date6/13/2012Last Updated4/3/2013Contact InformationPractice LocationPractice Address1956 Walker St, Las Vegas, NV 89106-2657Phone(702) 806-9410FaxUnlisted FaxMailing LocationMailing Address1956 Walker St, Las Vegas, NV 89106-2657Phone(702) 806-9410FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode374U00000XDescriptionHome Health AideNursing Service Related ProvidersLicenseUnlisted IssuerCode376K00000XDescriptionNurse's AideNursing Service Related ProvidersLicenseCNA029054Nevada