Individual ProviderTyrone Lee WatleyCounselorBehavioral 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 Tyrone Lee Watley 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 ID1932474723Provider TypeIndividualFull NameWatley, Tyrone LeeTitleMr.GenderMaleSole ProprietorNoEnumeration Date3/13/2012Last Updated3/13/2012Contact 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