Skylar Stuckey | Las Vegas, NV • PECOS Search

Skylar Stuckey

Counselor

Behavioral Health & Social Service Providers

2221 W Bonanza Rd Unit 103, Las Vegas, NV 89106-4717

PECOS Enrollment

Based on the most recent information from CMS, provider Skylar Stuckey 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
1487036570
Provider Type
Individual
Full Name
Stuckey, Skylar
Gender
Male

Sole Proprietor
Yes
Enumeration Date
6/24/2015
Last Updated
6/24/2015

Contact Information

Practice Location

2221 W Bonanza Rd Unit 103, Las Vegas, NV 89106-4717

Unlisted Fax

Mailing Location

2221 W Bonanza Rd Unit 103, Las Vegas, NV 89106-4717

Unlisted Fax

Provider Taxonomies

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