Vanessa Humphrey | Las Vegas, NV • PECOS Search

Vanessa Humphrey

Counselor

Behavioral Health & Social Service Providers

2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892

PECOS Enrollment

Based on the most recent information from CMS, provider Vanessa Humphrey 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 2 days ago.

Profile Details

Provider ID
1629325642
Provider Type
Individual
Full Name
Humphrey, Vanessa
Title
Ms.
Credential
LCPC, NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
8/8/2012
Last Updated
10/4/2022

Contact Information

Practice Location

2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892

Unlisted Fax

Mailing Location

2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892

Unlisted Fax

Provider Taxonomies

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