Look up the most recent NPI and PECOS records

Legacy Counseling And Workforce Connections

Community/Behavioral Health

Agencies

6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067

PECOS Enrollment

Based on the most recent information from CMS, provider Legacy Counseling And Workforce Connections 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 5 days ago.

Profile Details

Provider ID
1740603026
Provider Type
Organization
Full Name
Legacy Counseling And Workforce Connections

Subpart
No
Enumeration Date
1/22/2014
Last Updated
3/28/2023

Contact Information

Practice Location

6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067

(702) 763-7443

Unlisted Fax

Mailing Location

4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815

(702) 763-7443

Unlisted Fax

Authorized Official

Doss, Chris Alden (Clinical Director)

(702) 763-7443

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License NV20141049685 Nevada
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 251B00000X	Description Case Management Agencies	License Unlisted Issuer
Code 261QC1500X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QM0850X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP2300X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QR0405X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Legacy Counseling And Workforce Connections

PECOS Enrollment

Profile Details

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Authorized Official

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