Individual ProviderTarviance LoweCounselorBehavioral Health & Social Service ProvidersPractice Address800 W Bonanza Rd, Las Vegas, NV 89106-3525(702) 968-0231PECOS EnrollmentBased on the most recent information from CMS, provider Tarviance Lowe 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 ID1457723843Provider TypeIndividualFull NameLowe, TarvianceGenderMaleSole ProprietorYesEnumeration Date10/23/2015Last Updated10/23/2015Contact InformationPractice LocationPractice Address800 W Bonanza Rd, Las Vegas, NV 89106-3525Phone(702) 968-0231FaxUnlisted FaxMailing LocationMailing Address800 W Bonanza Rd, Las Vegas, NV 89106-3525Phone(702) 968-0231FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer