Individual ProviderStephanie F GanttSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4901 Whispering Spring Ave, Las Vegas, NV 89131-3657(702) 417-5172PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie F Gantt 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 12:14 PM.Profile DetailsProvider ID1982976353Provider TypeIndividualFull NameGantt, Stephanie FTitleMs.GenderFemaleSole ProprietorYesEnumeration Date2/1/2012Last Updated2/1/2012Contact InformationPractice LocationPractice Address4901 Whispering Spring Ave, Las Vegas, NV 89131-3657Phone(702) 417-5172FaxUnlisted FaxMailing LocationMailing Address4901 Whispering Spring Ave, Las Vegas, NV 89131-3657Phone(702) 417-5172FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID45-3558217DescriptionMedicaidIssuerUnlistedNevada