Individual ProviderTim NesvigCounselorBehavioral Health & Social Service ProvidersPractice Address3509 E Shea Blvd Ste 102, Phoenix, AZ 85028-3337(602) 293-8029PECOS EnrollmentBased on the most recent information from CMS, provider Tim Nesvig 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 yesterday at 12:57 PM.Profile DetailsProvider ID1558048942Provider TypeIndividualFull NameNesvig, TimGenderMaleSole ProprietorNoEnumeration Date6/28/2023Last Updated6/28/2023Contact InformationPractice LocationPractice Address3509 E Shea Blvd Ste 102, Phoenix, AZ 85028-3337Phone(602) 293-8029FaxUnlisted FaxMailing LocationMailing Address3509 E Shea Blvd Ste 102, Phoenix, AZ 85028-3337PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer