Individual ProviderAntoinette HarperCounselorBehavioral Health & Social Service ProvidersPractice Address351 Souring Gulls Drive, Las Vegas, NV 89128(312) 405-4937PECOS EnrollmentBased on the most recent information from CMS, provider Antoinette Harper 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 2 days ago.Profile DetailsProvider ID1457897043Provider TypeIndividualFull NameHarper, AntoinetteGenderFemaleSole ProprietorYesEnumeration Date1/6/2017Last Updated1/6/2017Contact InformationPractice LocationPractice Address351 Souring Gulls Drive, Las Vegas, NV 89128Phone(312) 405-4937FaxUnlisted FaxMailing LocationMailing Address351 Souring Gulls Drive, Las Vegas, NV 89128Phone(312) 405-4937FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer