Individual ProviderEric L ShellyCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126(702) 486-6191PECOS EnrollmentBased on the most recent information from CMS, provider Eric L Shelly 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 ID1972888345Provider TypeIndividualFull NameShelly, Eric LCredentialM.A.GenderMaleSole ProprietorNoEnumeration Date10/18/2011Last Updated11/19/2013Contact InformationPractice LocationPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 486-6191Fax(702) 486-7742Mailing LocationMailing Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 486-6191Fax(702) 486-7742Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer