Individual ProviderElizabeth Rose HaganCounselorBehavioral Health & Social Service ProvidersPractice Address2445 Fire Mesa St Ste 190, Las Vegas, NV 89128-9015(702) 456-4262PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Rose Hagan 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 6 days ago.Profile DetailsProvider ID1174015143Provider TypeIndividualFull NameHagan, Elizabeth RoseCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date6/5/2018Last Updated7/6/2025Contact InformationPractice LocationPractice Address2445 Fire Mesa St Ste 190, Las Vegas, NV 89128-9015Phone(702) 456-4262FaxUnlisted FaxMailing LocationMailing Address2445 Fire Mesa St Ste 190, Las Vegas, NV 89128-9015PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense6009NevadaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense11507Nebraska