OrganizationCarlotta D. WinnCommunity/Behavioral HealthAgenciesPractice Address5800 W Charleston Blvd, # 1073, Las Vegas, NV 89146-1292(702) 771-7124PECOS EnrollmentBased on the most recent information from CMS, provider Carlotta D. Winn 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 5 days ago.Profile DetailsProvider ID1013391556Provider TypeOrganizationFull NameCarlotta D. WinnSubpartNoEnumeration Date7/15/2015Last Updated7/15/2015Contact InformationPractice LocationPractice Address5800 W Charleston Blvd, # 1073, Las Vegas, NV 89146-1292Phone(702) 771-7124FaxUnlisted FaxMailing LocationMailing Address5800 W Charleston Blvd, # 1073, Las Vegas, NV 89146-1295Phone(702) 771-7124FaxUnlisted FaxAuthorized OfficialNameWinn, Carlotta D (Qualified Behavioral Aide)Phone(702) 771-7124Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1601159921DescriptionOtherIssuerDMVNevada