Individual ProviderSandra HodgersCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd # 10, Las Vegas, NV 89146-1126(702) 378-6066PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Hodgers 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 ID1477869279Provider TypeIndividualFull NameHodgers, SandraCredentialBSHSMGenderFemaleSole ProprietorYesEnumeration Date8/31/2010Last Updated2/15/2023Contact InformationPractice LocationPractice Address6171 W Charleston Blvd # 10, Las Vegas, NV 89146-1126Phone(702) 378-6066FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd # 10, Las Vegas, NV 89146-1126Phone(702) 378-6066FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI5211NevadaCode225400000XDescriptionRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer