Individual ProviderStephanie ThomasCounselorBehavioral Health & Social Service ProvidersPractice Address911 G St, Las Vegas, NV 89106-3313(702) 888-2312PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Thomas 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 ID1588164354Provider TypeIndividualFull NameThomas, StephanieGenderFemaleSole ProprietorYesEnumeration Date2/18/2018Last Updated5/31/2019Contact InformationPractice LocationPractice Address911 G St, Las Vegas, NV 89106-3313Phone(702) 888-2312FaxUnlisted FaxMailing LocationMailing Address3981 Weybridge Dr, Las Vegas, NV 89121-4856Phone(702) 888-2312FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode174200000XDescriptionMealsOther Service ProvidersLicenseUnlisted IssuerCode253Z00000XDescriptionIn Home Supportive CareAgenciesLicenseUnlisted IssuerCode261QM0801XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer