Individual ProviderDestinie ClevelandCounselorBehavioral Health & Social Service ProvidersPractice Address2620 Regatta Dr Ste 210, Las Vegas, NV 89128-6891(725) 333-2643(602) 643-8329PECOS EnrollmentBased on the most recent information from CMS, provider Destinie Cleveland is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1740051200Provider TypeIndividualFull NameCleveland, DestinieCredentialMS, CPC-I, CADC-I.GenderFemaleSole ProprietorNoEnumeration Date1/12/2024Last Updated10/18/2024Contact InformationPractice LocationPractice Address2620 Regatta Dr Ste 210, Las Vegas, NV 89128-6891Phone(725) 333-2643FaxUnlisted FaxMailing LocationMailing Address310 S Maryland Pkwy Apt 10, Las Vegas, NV 89101-5357Phone(602) 643-8329FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI5448NevadaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense07533-INevada