Individual ProviderShaneka Javone MalloydCounselorBehavioral Health & Social Service ProvidersPractice Address1240 W Owens Ave, Ste. 3, Las Vegas, NV 89106-2452(702) 877-9850PECOS EnrollmentBased on the most recent information from CMS, provider Shaneka Javone Malloyd 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 ID1861771693Provider TypeIndividualFull NameMalloyd, Shaneka JavoneTitleMissCredentialBAGenderFemaleSole ProprietorYesEnumeration Date8/10/2011Last Updated8/10/2011Contact InformationPractice LocationPractice Address1240 W Owens Ave, Ste. 3, Las Vegas, NV 89106-2452Phone(702) 877-9850Fax(702) 877-9870Mailing LocationMailing Address1240 W Owens Ave, Ste. 3, Las Vegas, NV 89106-2452Phone(702) 877-9850Fax(702) 877-9870Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer