Individual ProviderKerlia Suzanne EdmistonCounselorBehavioral Health & Social Service ProvidersPractice Address6655 W. Sahara Ave., B200, Las Vegas, NV 89146(702) 365-0600(951) 834-2412PECOS EnrollmentBased on the most recent information from CMS, provider Kerlia Suzanne Edmiston 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 2 days ago.Profile DetailsProvider ID1962700724Provider TypeIndividualFull NameEdmiston, Kerlia SuzanneTitleMs.CredentialMAGenderFemaleSole ProprietorYesEnumeration Date3/3/2011Last Updated3/3/2011Contact InformationPractice LocationPractice Address6655 W. Sahara Ave., B200, Las Vegas, NV 89146Phone(702) 365-0600Fax(702) 365-0602Mailing LocationMailing Address9075 Bushy Tail Ave #103, Las Vegas, NV 89149Phone(951) 834-2412FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer