Delvonya Johnson | Las Vegas, NV • PECOS Search

Delvonya Johnson

Counselor

Behavioral Health & Social Service Providers

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

PECOS Enrollment

Based on the most recent information from CMS, provider Delvonya Johnson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1437878980
Provider Type
Individual
Full Name
Johnson, Delvonya
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/26/2022
Last Updated
8/26/2022

Contact Information

Practice Location

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

Unlisted Fax

Mailing Location

2408 Splendid Manor Ct, North Las Vegas, NV 89032-1413

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer