Raven Pullins | Las Vegas, NV • PECOS Search

Raven Pullins

Counselor

Behavioral Health & Social Service Providers

2200 Peach Hill Ave, Las Vegas, NV 89106-1790

PECOS Enrollment

Based on the most recent information from CMS, provider Raven Pullins does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1821546037
Provider Type
Individual
Full Name
Pullins, Raven
Gender
Female

Sole Proprietor
No
Enumeration Date
9/16/2016
Last Updated
9/16/2016

Contact Information

Practice Location

2200 Peach Hill Ave, Las Vegas, NV 89106-1790

Unlisted Fax

Mailing Location

2200 Peach Hill Ave, Las Vegas, NV 89106-1790

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer