Individual ProviderInez Nmn StatenCounselorBehavioral Health & Social Service ProvidersPractice Address7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811(702) 468-1321PECOS EnrollmentBased on the most recent information from CMS, provider Inez Nmn Staten 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 ID1326343591Provider TypeIndividualFull NameStaten, Inez NmnGenderFemaleSole ProprietorNoEnumeration Date1/20/2011Last Updated1/20/2011Contact InformationPractice LocationPractice Address7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811Phone(702) 468-1321Fax(702) 243-3757Mailing LocationMailing Address7381 Prairie Falcon Road, Suite 120, Las Vegas, NV 89128Phone(702) 468-1321Fax(702) 243-3757Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMI0156NevadaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense00100-LNevadaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense00102-IGNevadaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense00265-SNevadaCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicense131AL-5Nevada