Individual ProviderDena NicholsCounselorBehavioral Health & Social Service ProvidersPractice Address2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110(772) 466-5432PECOS EnrollmentBased on the most recent information from CMS, provider Dena Nichols 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 ID1437425519Provider TypeIndividualFull NameNichols, DenaGenderFemaleSole ProprietorYesEnumeration Date3/22/2012Last Updated3/22/2012Contact InformationPractice LocationPractice Address2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110Phone(772) 466-5432FaxUnlisted FaxMailing LocationMailing Address2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110Phone(772) 466-5432FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH2613FloridaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMT1410Florida