Individual ProviderKayalyne PeasonCounselorBehavioral Health & Social Service ProvidersPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067(702) 437-4673PECOS EnrollmentBased on the most recent information from CMS, provider Kayalyne Peason 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 ID1609376003Provider TypeIndividualFull NamePeason, KayalyneGenderFemaleSole ProprietorNoEnumeration Date2/13/2018Last Updated2/13/2018Contact InformationPractice LocationPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067Phone(702) 437-4673Fax(702) 438-4673Mailing LocationMailing Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer