Individual ProviderMichelle Marie CodyCounselorBehavioral Health & Social Service ProvidersPractice Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898(702) 437-4673(520) 975-4843PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Marie Cody 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 ID1427666254Provider TypeIndividualFull NameCody, Michelle MarieTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date7/17/2020Last Updated7/17/2020Contact InformationPractice LocationPractice Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898Phone(702) 437-4673Fax(702) 438-4673Mailing LocationMailing Address5516 Boulder Hwy Ste 2f300, Las Vegas, NV 89122-6000Phone(520) 975-4843FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNevada