Tiffany Elam | Las Vegas, NV • PECOS Search

Tiffany Elam

Counselor

Behavioral Health & Social Service Providers

8430 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128-7674

PECOS Enrollment

Based on the most recent information from CMS, provider Tiffany Elam 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 5 days ago.

Profile Details

Provider ID
1538694484
Provider Type
Individual
Full Name
Elam, Tiffany
Gender
Female

Sole Proprietor
No
Enumeration Date
4/28/2017
Last Updated
4/28/2017

Contact Information

Practice Location

8430 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128-7674

Unlisted Fax

Mailing Location

8430 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128-7674

Unlisted Fax

Provider Taxonomies

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