Individual ProviderKhalileah DanielsCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd Ste 170, Las Vegas, NV 89146-1126(702) 486-4004(702) 453-4673PECOS EnrollmentBased on the most recent information from CMS, provider Khalileah Daniels 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 ID1417231770Provider TypeIndividualFull NameDaniels, KhalileahGenderFemaleSole ProprietorYesEnumeration Date10/5/2011Last Updated12/4/2020Contact InformationPractice LocationPractice Address6171 W Charleston Blvd Ste 170, Las Vegas, NV 89146-1126Phone(702) 486-4004FaxUnlisted FaxMailing LocationMailing Address3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628Phone(702) 453-4673FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMI0854NevadaCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer