Individual ProviderVickie KnightCounselorBehavioral Health & Social Service ProvidersPractice Address5436 S Broadway, Los Angeles, CA 90037-4126(323) 234-6261PECOS EnrollmentBased on the most recent information from CMS, provider Vickie Knight 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 today at 9:43 AM.Profile DetailsProvider ID1720302029Provider TypeIndividualFull NameKnight, VickieTitleMissGenderFemaleSole ProprietorYesEnumeration Date3/16/2010Last Updated3/16/2010Contact InformationPractice LocationPractice Address5436 S Broadway, Los Angeles, CA 90037-4126Phone(323) 234-6261Fax(323) 234-6265Mailing LocationMailing Address5436 S Broadway, Los Angeles, CA 90037-4126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer