Rosetta Lavonda Wooten | Las Vegas, NV • PECOS Search

Rosetta Lavonda Wooten

Counselor

Behavioral Health & Social Service Providers

1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452

PECOS Enrollment

Based on the most recent information from CMS, provider Rosetta Lavonda Wooten 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
1548549132
Provider Type
Individual
Full Name
Wooten, Rosetta Lavonda
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/12/2011
Last Updated
8/12/2011

Contact Information

Practice Location

1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452

Unlisted Fax

Mailing Location

1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452

Unlisted Fax

Provider Taxonomies

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