Individual ProviderMarylyn EckelkampCounselorBehavioral Health & Social Service ProvidersPractice Address7200 Cathedral Rock Dr Ste 120, Las Vegas, NV 89128-0439(702) 341-5888PECOS EnrollmentBased on the most recent information from CMS, provider Marylyn Eckelkamp 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 ID1306943568Provider TypeIndividualFull NameEckelkamp, MarylynCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date9/20/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address7200 Cathedral Rock Dr Ste 120, Las Vegas, NV 89128-0439Phone(702) 341-5888Fax(702) 341-9587Mailing LocationMailing Address7200 Cathedral Rock Dr Ste 120, Las Vegas, NV 89128-0439Phone(702) 341-5888Fax(702) 341-9587Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0458Nevada