Individual ProviderTerrance Ray HardinCounselorBehavioral Health & Social Service ProvidersPractice Address1333 N Buffalo Dr Unit 250, Las Vegas, NV 89128-3637(702) 354-0017(702) 326-6834PECOS EnrollmentBased on the most recent information from CMS, provider Terrance Ray Hardin 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 ID1265777254Provider TypeIndividualFull NameHardin, Terrance RayTitleMr.GenderMaleSole ProprietorYesEnumeration Date12/3/2012Last Updated12/3/2012Contact InformationPractice LocationPractice Address1333 N Buffalo Dr Unit 250, Las Vegas, NV 89128-3637Phone(702) 354-0017FaxUnlisted FaxMailing LocationMailing Address6868 Skypointe Dr # 2042, Las Vegas, NV 89131Phone(702) 326-6834FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID453689144DescriptionMedicaidIssuerUnlistedNevada