Shelly M Thompson | Las Vegas, NV • PECOS Search

Shelly M Thompson

Counselor

Behavioral Health & Social Service Providers

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

(702) 437-4673 (702) 600-6791

PECOS Enrollment

Based on the most recent information from CMS, provider Shelly M Thompson 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
1669005377
Provider Type
Individual
Full Name
Thompson, Shelly M
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/20/2020
Last Updated
2/20/2020

Contact Information

Practice Location

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

Unlisted Fax

Mailing Location

4640 Vegas Valley Dr Apt 2093, Las Vegas, NV 89121-7915

Unlisted Fax

Provider Taxonomies

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