Individual ProviderLeilani G MccallieCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Boston, MA 02119-2769(404) 723-7093PECOS EnrollmentBased on the most recent information from CMS, provider Leilani G Mccallie 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 ID1073222451Provider TypeIndividualFull NameMccallie, Leilani GGenderFemaleSole ProprietorYesEnumeration Date11/15/2022Last Updated11/15/2022Contact InformationPractice LocationPractice Address520 Dudley St, Boston, MA 02119-2769Phone(404) 723-7093FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Boston, MA 02119-2769Phone(404) 723-7093FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer