Individual ProviderMatthew RauchCounselorBehavioral Health & Social Service ProvidersPractice Address510 Vonderburg Dr Ste 301, Brandon, FL 33511(813) 881-1000PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Rauch 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 11:06 AM.Profile DetailsProvider ID1013430834Provider TypeIndividualFull NameRauch, MatthewCredentialLMHCGenderMaleSole ProprietorNoEnumeration Date7/24/2017Last Updated4/16/2019Contact InformationPractice LocationPractice Address510 Vonderburg Dr Ste 301, Brandon, FL 33511Phone(813) 881-1000FaxUnlisted FaxMailing LocationMailing Address510 Vonderburg Dr Ste 301, Brandon, FL 33511-6072Phone(813) 881-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH15250FloridaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1854MississippiCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense102MississippiCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseMH15250Florida