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Casey Rene Casillas-Nichols

Counselor

Behavioral Health & Social Service Providers

2500 W Washington Ave Ste B, Las Vegas, NV 89106-3731

PECOS Enrollment

This provider is enrolled in PECOS as CASEY CASILLAS-NICHOLS.

Based on the most recent information from CMS, provider Casey Rene Casillas-Nichols is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1710323720
Provider Type
Individual
Full Name
Casillas-Nichols, Casey Rene
Credential
MS

Gender
Female
Sole Proprietor
No
Enumeration Date
5/16/2013
Last Updated
5/18/2021

Contact Information

Practice Location

2500 W Washington Ave Ste B, Las Vegas, NV 89106-3731

(027) 605-5858

Unlisted Fax

Mailing Location

2500 W Washington Ave Ste B, Las Vegas, NV 89106-3731

(702) 605-5858

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CI0215 Nevada
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License 01786-L Nevada

Casey Rene Casillas-Nichols

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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