Individual ProviderJudy WhiteCounselorBehavioral Health & Social Service ProvidersPractice Address8700 Red Rio Dr, Suite 103, Las Vegas, NV 89128-8426(702) 845-0607PECOS EnrollmentBased on the most recent information from CMS, provider Judy White 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 5 days ago.Profile DetailsProvider ID1639406408Provider TypeIndividualFull NameWhite, JudyTitleMrs.CredentialBSWGenderFemaleSole ProprietorYesEnumeration Date11/15/2009Last Updated6/6/2012Contact InformationPractice LocationPractice Address8700 Red Rio Dr, Suite 103, Las Vegas, NV 89128-8426Phone(702) 845-0607Fax(702) 845-0607Mailing LocationMailing Address8700 Red Rio Dr, Suite 103, Las Vegas, NV 89128-8426Phone(702) 845-0607Fax(702) 845-0607Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer