Demetria Thomas-Masso | Brandon, FL • PECOS Search

Demetria Thomas-Masso

Counselor

Behavioral Health & Social Service Providers

1351 Oakfield Dr, Brandon, FL 33511-4823

PECOS Enrollment

Based on the most recent information from CMS, provider Demetria Thomas-Masso does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1396062634
Provider Type
Individual
Full Name
Thomas-Masso, Demetria
Credential
LMHC, NCC, CCMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/27/2010
Last Updated
3/2/2016

Contact Information

Practice Location

1351 Oakfield Dr, Brandon, FL 33511-4823

(813) 354-2764

Mailing Location

1351 Oakfield Dr, Brandon, FL 33511-4823

(813) 354-2764

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH10905 Florida