Individual ProviderAnnie Mae SpencerCounselorBehavioral Health & Social Service ProvidersPractice Address1229 W Adams Ave, Las Vegas, NV 89106-2839(702) 684-3573PECOS EnrollmentBased on the most recent information from CMS, provider Annie Mae Spencer 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 ID1538426341Provider TypeIndividualFull NameSpencer, Annie MaeTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date4/18/2012Last Updated11/15/2018Contact InformationPractice LocationPractice Address1229 W Adams Ave, Las Vegas, NV 89106-2839Phone(702) 684-3573FaxUnlisted FaxMailing LocationMailing Address1229 W Adams Ave, Las Vegas, NV 89106-2839Phone(702) 684-3573FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer