Individual ProviderDestiny BryantCounselorBehavioral Health & Social Service ProvidersPractice Address204 W Pacific Ave, Henderson, NV 89015-7376(702) 565-1020PECOS EnrollmentBased on the most recent information from CMS, provider Destiny Bryant 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 ID1922573815Provider TypeIndividualFull NameBryant, DestinyGenderFemaleSole ProprietorYesEnumeration Date10/8/2018Last Updated10/8/2018Contact InformationPractice LocationPractice Address204 W Pacific Ave, Henderson, NV 89015-7376Phone(702) 565-1020Fax(702) 565-1035Mailing LocationMailing Address204 W Pacific Ave, Henderson, NV 89015-7376Phone(702) 565-1020Fax(702) 565-1035Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNevadaCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerNevada