OrganizationEpiphany Therapy ServicesCounselorBehavioral Health & Social Service ProvidersPractice Address7465 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128-1033(702) 577-7295PECOS EnrollmentBased on the most recent information from CMS, provider Epiphany Therapy Services 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 ID1518696608Provider TypeOrganizationFull NameEpiphany Therapy ServicesSubpartNoEnumeration Date6/6/2022Last Updated6/6/2022Contact InformationPractice LocationPractice Address7465 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128-1033Phone(702) 577-7295FaxUnlisted FaxMailing LocationMailing Address2203 Jardine Ave, N Las Vegas, NV 89032-0642PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameCarson, Kimberly (Co Owner)Phone(702) 577-7295Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer