Individual ProviderImani Nicole CainCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(857) 236-4929PECOS EnrollmentBased on the most recent information from CMS, provider Imani Nicole Cain 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 ID1215823687Provider TypeIndividualFull NameCain, Imani NicoleGenderFemaleSole ProprietorYesEnumeration Date6/13/2025Last Updated6/13/2025Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(857) 236-4929FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer