Individual ProviderShennelle BaileyCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley Street Roxbury, Ma, MA 02119(617) 445-6655PECOS EnrollmentBased on the most recent information from CMS, provider Shennelle Bailey 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 12:57 PM.Profile DetailsProvider ID1003684309Provider TypeIndividualFull NameBailey, ShennelleGenderFemaleSole ProprietorNoEnumeration Date12/15/2023Last Updated12/15/2023Contact InformationPractice LocationPractice Address520 Dudley Street Roxbury, Ma, MA 02119Phone(617) 445-6655FaxUnlisted FaxMailing LocationMailing Address520 Dudley Street Roxbury, Ma, MA 02119Phone(617) 445-6655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer