OrganizationAlta Wellness Center LlcCounselorBehavioral Health & Social Service ProvidersPractice Address153 W Lake Mead Pkwy Ste 3110, Henderson, NV 89015-8006(702) 365-0060PECOS EnrollmentBased on the most recent information from CMS, provider Alta Wellness Center Llc 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 ID1821539511Provider TypeOrganizationFull NameAlta Wellness Center LlcSubpartNoEnumeration Date3/14/2017Last Updated3/14/2017Contact InformationPractice LocationPractice Address153 W Lake Mead Pkwy Ste 3110, Henderson, NV 89015-8006Phone(702) 365-0060Fax(702) 365-0602Mailing LocationMailing Address1027 S Rainbow Blvd # 270, Las Vegas, NV 89145-6232Phone(702) 365-0060Fax(702) 365-0602Authorized OfficialNameSuarez, Roberto (Owner)Phone(702) 365-0600Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer