Individual ProviderTiffany LeeCounselorBehavioral Health & Social Service ProvidersPractice Address6161 W Charleston Blvd, Las Vegas, NV 89146-1126(702) 486-5616PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Lee 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 ID1417264441Provider TypeIndividualFull NameLee, TiffanyTitleMs.GenderFemaleSole ProprietorYesEnumeration Date9/13/2010Last Updated9/13/2010Contact InformationPractice LocationPractice Address6161 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 486-5616FaxUnlisted FaxMailing LocationMailing Address6161 W Charleston Blvd, Las Vegas, NV 89146-1126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNevada