Individual ProviderMichelle AndersonCounselorBehavioral Health & Social Service ProvidersPractice Address7575 W Washington Ave Ste 127187, Las Vegas, NV 89128-4333(702) 249-2449(702) 202-2449PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Anderson 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 ID1578081253Provider TypeIndividualFull NameAnderson, MichelleGenderFemaleSole ProprietorYesEnumeration Date9/1/2017Last Updated1/8/2019Contact InformationPractice LocationPractice Address7575 W Washington Ave Ste 127187, Las Vegas, NV 89128-4333Phone(702) 249-2449FaxUnlisted FaxMailing LocationMailing Address7575 W Washington Ave Ste 127187, Las Vegas, NV 89128-4333Phone(702) 202-2449FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer