Individual ProviderSusan LutzCounselorBehavioral Health & Social Service ProvidersPractice Address581 Preakness Stakes St, Henderson, NV 89015-6948(908) 797-8025PECOS EnrollmentBased on the most recent information from CMS, provider Susan Lutz 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 ID1700164159Provider TypeIndividualFull NameLutz, SusanCredentialMA, LPCGenderFemaleSole ProprietorNoEnumeration Date8/2/2011Last Updated8/2/2011Contact InformationPractice LocationPractice Address581 Preakness Stakes St, Henderson, NV 89015-6948Phone(908) 797-8025FaxUnlisted FaxMailing LocationMailing Address581 Preakness Stakes Street, Henderson, NV 89015Phone(908) 797-8025FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense37PC00404100New Jersey