Individual ProviderLaura Candyace Leah BlueCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126(702) 486-6100(478) 494-2380PECOS EnrollmentBased on the most recent information from CMS, provider Laura Candyace Leah Blue 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 ID1487167110Provider TypeIndividualFull NameBlue, Laura Candyace LeahTitleMissGenderFemaleSole ProprietorNoEnumeration Date11/16/2017Last Updated11/16/2017Contact InformationPractice LocationPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 486-6100FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(478) 494-2380FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer