Individual ProviderStephanie Annette Glasper-JohnsonCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126(702) 486-7664PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Annette Glasper-Johnson 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 2 days ago.Profile DetailsProvider ID1083247365Provider TypeIndividualFull NameGlasper-Johnson, Stephanie AnnetteGenderFemaleSole ProprietorNoEnumeration Date2/14/2020Last Updated2/14/2020Contact InformationPractice LocationPractice Address6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126Phone(702) 486-7664FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126Phone(702) 486-7664FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer