OrganizationWandering Pine Wellness PllcCounselorBehavioral Health & Social Service ProvidersPractice Address2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892(206) 501-1189PECOS EnrollmentBased on the most recent information from CMS, provider Wandering Pine Wellness Pllc 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 ID1609699818Provider TypeOrganizationFull NameWandering Pine Wellness PllcSubpartNoEnumeration Date11/5/2024Last Updated11/5/2024Contact InformationPractice LocationPractice Address2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892Phone(206) 501-1189FaxUnlisted FaxMailing LocationMailing Address100 N Howard St # 5241, Spokane, WA 99201-0508PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameMccarthy, Kerry (Co-Owner)Phone(303) 210-4238Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer