Melissa Bannister | Las Vegas, NV • PECOS Search

Melissa Bannister

Counselor

Behavioral Health & Social Service Providers

911 N Buffalo Dr, Las Vegas, NV 89128-0379

(702) 942-1774 (702) 497-8035

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Bannister does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1336551332
Provider Type
Individual
Full Name
Bannister, Melissa
Gender
Female

Sole Proprietor
No
Enumeration Date
5/24/2014
Last Updated
5/24/2014

Contact Information

Practice Location

911 N Buffalo Dr, Las Vegas, NV 89128-0379

Unlisted Fax

Mailing Location

3253 N Campbell Rd, Las Vegas, NV 89129-6162

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer