Individual ProviderPansy WadeCounselorBehavioral Health & Social Service ProvidersPractice Address10701 Corporate Dr, Suite 205, Stafford, TX 77477-4096(832) 416-5473PECOS EnrollmentBased on the most recent information from CMS, provider Pansy Wade 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 ID1497997241Provider TypeIndividualFull NameWade, PansyTitleMs.CredentialMA, LPCGenderFemaleSole ProprietorYesEnumeration Date3/25/2009Last Updated3/3/2010Contact InformationPractice LocationPractice Address10701 Corporate Dr, Suite 205, Stafford, TX 77477-4096Phone(832) 416-5473FaxUnlisted FaxMailing LocationMailing AddressPO Box 174, Sugar Land, TX 77487-0174Phone(832) 416-5473Fax(281) 491-1368Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense62880TexasProvider IdentifiersIDDescriptionIssuerID204156802DescriptionMedicaidIssuerUnlistedTexas