Georgette I Patterson | Las Vegas, NV • PECOS Search

Georgette I Patterson

Counselor

Behavioral Health & Social Service Providers

5450 W Sahara Ave Ste 320, Las Vegas, NV 89146-0383

PECOS Enrollment

Based on the most recent information from CMS, provider Georgette I Patterson 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 2 days ago.

Profile Details

Provider ID
1861953317
Provider Type
Individual
Full Name
Patterson, Georgette I
Title
Mrs.
Credential
CPC INTERN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/27/2019
Last Updated
3/27/2019

Contact Information

Practice Location

5450 W Sahara Ave Ste 320, Las Vegas, NV 89146-0383

Unlisted Fax

Mailing Location

PO Box 61523, Boulder City, NV 89006-1523

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CI632 Nevada