Individual ProviderLanita CullinaneCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(617) 445-6655(617) 448-3705PECOS EnrollmentBased on the most recent information from CMS, provider Lanita Cullinane 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 ID1083120406Provider TypeIndividualFull NameCullinane, LanitaGenderFemaleSole ProprietorNoEnumeration Date12/21/2017Last Updated12/21/2017Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 445-6655FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 448-3705FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer