Individual ProviderDiane CarterCounselorBehavioral Health & Social Service ProvidersPractice Address303 Dudley St Apt 7, 3, Roxbury, MA 02119-2649(617) 516-8408PECOS EnrollmentBased on the most recent information from CMS, provider Diane Carter 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 ID1144693102Provider TypeIndividualFull NameCarter, DianeGenderFemaleSole ProprietorYesEnumeration Date11/12/2015Last Updated11/12/2015Contact InformationPractice LocationPractice Address303 Dudley St Apt 7, 3, Roxbury, MA 02119-2649Phone(617) 516-8408FaxUnlisted FaxMailing LocationMailing Address303 Dudley St Apt 7, 3, Roxbury, MA 02119-2649Phone(617) 516-8408FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer