Individual ProviderSheila Maurine WitternCounselorBehavioral Health & Social Service ProvidersPractice Address1201 N Buffalo Dr, 201, Las Vegas, NV 89128-4128(702) 562-8621PECOS EnrollmentBased on the most recent information from CMS, provider Sheila Maurine Wittern 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 ID1720415433Provider TypeIndividualFull NameWittern, Sheila MaurineTitleMissGenderFemaleSole ProprietorYesEnumeration Date9/26/2013Last Updated9/26/2013Contact InformationPractice LocationPractice Address1201 N Buffalo Dr, 201, Las Vegas, NV 89128-4128Phone(702) 562-8621FaxUnlisted FaxMailing LocationMailing Address1201 N Buffalo Dr, 201, Las Vegas, NV 89128-4128PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer