OrganizationPatricia M NicholsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address502 S 4th St, Laramie, WY 82070-3704(307) 755-1000PECOS EnrollmentBased on the most recent information from CMS, provider Patricia M 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 11:54 AM.Profile DetailsProvider ID1609512086Provider TypeOrganizationFull NamePatricia M NicholsSubpartNoEnumeration Date5/9/2022Last Updated5/9/2022Contact InformationPractice LocationPractice Address502 S 4th St, Laramie, WY 82070-3704Phone(307) 755-1000FaxUnlisted FaxMailing LocationMailing Address502 S 4th St, Laramie, WY 82070-3704Phone(307) 755-1000FaxUnlisted FaxAuthorized OfficialNameNichols, Patricia (Therapist)Phone(307) 755-1000Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer