Individual ProviderNicole Lynn FreemanCounselorBehavioral Health & Social Service ProvidersPractice Address7310 Smoke Ranch Rd Ste S, Las Vegas, NV 89128-0260(702) 608-7290PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Lynn Freeman 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 6 days ago.Profile DetailsProvider ID1851867329Provider TypeIndividualFull NameFreeman, Nicole LynnGenderFemaleSole ProprietorYesEnumeration Date10/22/2018Last Updated3/20/2023Contact InformationPractice LocationPractice Address7310 Smoke Ranch Rd Ste S, Las Vegas, NV 89128-0260Phone(702) 608-7290FaxUnlisted FaxMailing LocationMailing Address7310 Smoke Ranch Rd Ste S, Las Vegas, NV 89128-0260Phone(702) 608-7290FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer