OrganizationTherapeutic Integrated Medical Care IncCounselorBehavioral Health & Social Service ProvidersPractice Address916 W Owens Ave, Las Vegas, NV 89106-2516(702) 617-6313PECOS EnrollmentBased on the most recent information from CMS, provider Therapeutic Integrated Medical Care Inc 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 4 days ago.Profile DetailsProvider ID1689204166Provider TypeOrganizationFull NameTherapeutic Integrated Medical Care IncSubpartYesEnumeration Date1/23/2020Last Updated1/23/2020Contact InformationPractice LocationPractice Address916 W Owens Ave, Las Vegas, NV 89106-2516Phone(702) 617-6313Fax(702) 901-7224Mailing LocationMailing AddressPO Box 71526, Las Vegas, NV 89170-1526Phone(702) 617-6313Fax(702) 901-7224Authorized OfficialNameRodriguez, Geneve (Administrator)Phone(702) 617-6313Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer