Individual ProviderLeeza L RomoCounselorBehavioral Health & Social Service ProvidersPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146(702) 437-4673PECOS EnrollmentBased on the most recent information from CMS, provider Leeza L Romo 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 ID1538728506Provider TypeIndividualFull NameRomo, Leeza LGenderFemaleSole ProprietorNoEnumeration Date6/12/2019Last Updated9/3/2020Contact InformationPractice LocationPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146Phone(702) 437-4673FaxUnlisted FaxMailing LocationMailing Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898Phone(702) 437-4673FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer