Jasmine Ellzey | Las Vegas, NV • PECOS Search

Jasmine Ellzey

Counselor

Behavioral Health & Social Service Providers

3151 Soaring Gulls Dr, Las Vegas, NV 89128-7020

PECOS Enrollment

Based on the most recent information from CMS, provider Jasmine Ellzey 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 6 days ago.

Profile Details

Provider ID
1508301532
Provider Type
Individual
Full Name
Ellzey, Jasmine
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/29/2016
Last Updated
12/29/2016

Contact Information

Practice Location

3151 Soaring Gulls Dr, Las Vegas, NV 89128-7020

Unlisted Fax

Mailing Location

3151 Soaring Gulls Dr, Las Vegas, NV 89128-7020

Unlisted Fax

Provider Taxonomies

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