Individual ProviderLoralee BallesterosCounselorBehavioral Health & Social Service ProvidersPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067(702) 437-4673(203) 858-6757PECOS EnrollmentBased on the most recent information from CMS, provider Loralee Ballesteros 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 ID1528617123Provider TypeIndividualFull NameBallesteros, LoraleeGenderFemaleSole ProprietorYesEnumeration Date9/5/2019Last Updated9/5/2019Contact InformationPractice LocationPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067Phone(702) 437-4673FaxUnlisted FaxMailing LocationMailing Address10701 S Eastern Ave Apt 313, Henderson, NV 89052-2991Phone(203) 858-6757FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer