Individual ProviderLouis WhitleyCounselorBehavioral Health & Social Service ProvidersPractice Address2441 Tech Center Ct, Suite 104, Las Vegas, NV 89128-0804(702) 560-1898PECOS EnrollmentBased on the most recent information from CMS, provider Louis Whitley 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 ID1457749434Provider TypeIndividualFull NameWhitley, LouisGenderMaleSole ProprietorYesEnumeration Date12/29/2014Last Updated12/29/2014Contact InformationPractice LocationPractice Address2441 Tech Center Ct, Suite 104, Las Vegas, NV 89128-0804Phone(702) 560-1898Fax(702) 974-1521Mailing LocationMailing Address2441 Tech Center Ct, Suite 104, Las Vegas, NV 89128-0804Phone(702) 560-1898Fax(702) 974-1521Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer