Ariel Dominique Davis | Las Vegas, NV • PECOS Search

Ariel Dominique Davis

Counselor

Behavioral Health & Social Service Providers

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

PECOS Enrollment

Based on the most recent information from CMS, provider Ariel Dominique Davis 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
1902533755
Provider Type
Individual
Full Name
Davis, Ariel Dominique
Gender
Female

Sole Proprietor
No
Enumeration Date
8/2/2022
Last Updated
8/2/2022

Contact Information

Practice Location

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

Unlisted Fax

Mailing Location

965 Cottage Grove Ave Apt 1, Las Vegas, NV 89119-6859

Unlisted Fax

Provider Taxonomies

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