Individual ProviderSamantha Evonne BrownCase Manager/Care CoordinatorOther Service ProvidersPractice Address855 Mill St Ste 1a, Reno, NV 89502-1499(775) 431-0508PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Evonne Brown 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 33 days ago.Profile DetailsProvider ID1124554498Provider TypeIndividualFull NameBrown, Samantha EvonneCredentialQMHAGenderFemaleSole ProprietorNoEnumeration Date5/5/2017Last Updated2/17/2023Contact InformationPractice LocationPractice Address855 Mill St Ste 1a, Reno, NV 89502-1499Phone(775) 431-0508FaxUnlisted FaxMailing LocationMailing Address855 Mill St Ste 1a, Reno, NV 89502-1499PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer