Individual ProviderLaura ConnCounselorBehavioral Health & Social Service ProvidersPractice Address77 W 24th St Apt 30b, New York, NY 10010-3230(215) 407-2139PECOS EnrollmentBased on the most recent information from CMS, provider Laura Conn 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 today at 9:42 AM.Profile DetailsProvider ID1063184265Provider TypeIndividualFull NameConn, LauraCredentialLMSWGenderFemaleSole ProprietorNoEnumeration Date10/5/2021Last Updated10/5/2021Contact InformationPractice LocationPractice Address77 W 24th St Apt 30b, New York, NY 10010-3230Phone(215) 407-2139FaxUnlisted FaxMailing LocationMailing Address77 W 24th St Apt 30b, New York, NY 10010-3230Phone(215) 407-2139FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense113461-01New York