Individual ProviderEdwin Alexander GomezCounselorBehavioral Health & Social Service ProvidersPractice Address370 Sutton St, North Andover, MA 01845-1517(781) 248-8891PECOS EnrollmentBased on the most recent information from CMS, provider Edwin Alexander Gomez 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 11:47 AM.Profile DetailsProvider ID1124536131Provider TypeIndividualFull NameGomez, Edwin AlexanderGenderMaleSole ProprietorNoEnumeration Date1/12/2018Last Updated6/28/2022Contact InformationPractice LocationPractice Address370 Sutton St, North Andover, MA 01845-1517Phone(781) 248-8891FaxUnlisted FaxMailing LocationMailing Address370 Sutton St, North Andover, MA 01845-1517Phone(781) 248-8891FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense13003Massachusetts