Individual ProviderAlejandra AvitiaCounselorBehavioral Health & Social Service ProvidersPractice Address2445 Fire Mesa St Ste 270, Las Vegas, NV 89128-9015(702) 757-8720(702) 720-0604PECOS EnrollmentBased on the most recent information from CMS, provider Alejandra Avitia 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 ID1245936566Provider TypeIndividualFull NameAvitia, AlejandraCredentialMAGenderFemaleSole ProprietorNoEnumeration Date2/7/2023Last Updated2/7/2023Contact InformationPractice LocationPractice Address2445 Fire Mesa St Ste 270, Las Vegas, NV 89128-9015Phone(702) 757-8720FaxUnlisted FaxMailing LocationMailing Address2490 N Gateway Rd, Las Vegas, NV 89115-4314Phone(702) 720-0604FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI5241Nevada