Individual ProviderDorlisa MasonCounselorBehavioral Health & Social Service ProvidersPractice Address7500 W Lake Mead Blvd # 9-517, Las Vegas, NV 89128-0297(702) 825-0853PECOS EnrollmentBased on the most recent information from CMS, provider Dorlisa Mason 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 ID1962885053Provider TypeIndividualFull NameMason, DorlisaGenderFemaleSole ProprietorYesEnumeration Date7/7/2015Last Updated7/7/2015Contact InformationPractice LocationPractice Address7500 W Lake Mead Blvd # 9-517, Las Vegas, NV 89128-0297Phone(702) 825-0853FaxUnlisted FaxMailing LocationMailing Address7500 W Lake Mead Blvd # 9-517, Las Vegas, NV 89128-0297Phone(702) 825-0853FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer