Individual ProviderArely GonzalesCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126(313) 743-1509PECOS EnrollmentBased on the most recent information from CMS, provider Arely Gonzales 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 ID1417444159Provider TypeIndividualFull NameGonzales, ArelyGenderFemaleSole ProprietorYesEnumeration Date4/18/2018Last Updated4/18/2018Contact InformationPractice LocationPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(313) 743-1509FaxUnlisted FaxMailing LocationMailing Address6236 Bellota Dr Apt B, Las Vegas, NV 89108-6410Phone(313) 743-1509FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer