Individual ProviderTrevor MilazzoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address121 E Sunset Rd, Las Vegas, NV 89119-3518(201) 925-0779PECOS EnrollmentBased on the most recent information from CMS, provider Trevor Milazzo 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 4 days ago.Profile DetailsProvider ID1124421953Provider TypeIndividualFull NameMilazzo, TrevorGenderMaleSole ProprietorYesEnumeration Date10/7/2014Last Updated7/23/2021Contact InformationPractice LocationPractice Address121 E Sunset Rd, Las Vegas, NV 89119-3518Phone(201) 925-0779Fax(702) 257-9411Mailing LocationMailing Address6869 Tamarus St, Las Vegas, NV 89119-0391Phone(201) 925-0779Fax(702) 257-9411Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8975-SNevadaCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1099DescriptionMedicaidIssuerUnlistedNevada