Individual ProviderSamantha Jo CoxCounselorBehavioral Health & Social Service ProvidersPractice Address5010 E Shea Blvd, Suite 255, Phoenix, AZ 85028(928) 713-9242PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Jo Cox 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 yesterday at 12:57 PM.Profile DetailsProvider ID1033936539Provider TypeIndividualFull NameCox, Samantha JoCredentialLACGenderFemaleSole ProprietorYesEnumeration Date9/25/2024Last Updated9/25/2024Contact InformationPractice LocationPractice Address5010 E Shea Blvd, Suite 255, Phoenix, AZ 85028Phone(928) 713-9242FaxUnlisted FaxMailing LocationMailing Address8818 S 12th St, Phoenix, AZ 85042-7972Phone(928) 713-9242FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLAC-22010Arizona