Individual ProviderShayna Km GuginoCounselorBehavioral Health & Social Service ProvidersPractice Address526 S Tonopah Dr, Suite 160, Las Vegas, NV 89106-4043(702) 359-9899PECOS EnrollmentBased on the most recent information from CMS, provider Shayna Km Gugino 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 ID1831456136Provider TypeIndividualFull NameGugino, Shayna KmTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date4/12/2012Last Updated1/20/2016Contact InformationPractice LocationPractice Address526 S Tonopah Dr, Suite 160, Las Vegas, NV 89106-4043Phone(702) 359-9899FaxUnlisted FaxMailing LocationMailing Address526 S Tonopah Dr, Suite 160, Las Vegas, NV 89106-4043Phone(702) 359-9899FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI0104NevadaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense01671-LNevada