Individual ProviderMandy Renee ResendizCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717(360) 397-8484PECOS EnrollmentBased on the most recent information from CMS, provider Mandy Renee Resendiz 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 yesterday at 10:04 AM.Profile DetailsProvider ID1679083174Provider TypeIndividualFull NameResendiz, Mandy ReneeGenderFemaleSole ProprietorNoEnumeration Date10/10/2017Last Updated10/10/2017Contact InformationPractice LocationPractice Address1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717Phone(360) 397-8484Fax(360) 397-8494Mailing LocationMailing AddressPO Box 1845, Vancouver, WA 98668-1845PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer