Brandon S Lane | Las Vegas, NV • PECOS Search

Brandon S Lane

Counselor

Behavioral Health & Social Service Providers

7473 W Lake Mead Blvd, Las Vegas, NV 89128-0265

(702) 706-8096 (702) 885-7904

PECOS Enrollment

Based on the most recent information from CMS, provider Brandon S Lane does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1073847935
Provider Type
Individual
Full Name
Lane, Brandon S
Title
Mr.
Credential
LCPC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/25/2009
Last Updated
2/18/2025

Contact Information

Practice Location

7473 W Lake Mead Blvd, Las Vegas, NV 89128-0265

Unlisted Fax

Mailing Location

9444 Summer Rain Dr, Las Vegas, NV 89134-0105

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CP0077 Nevada