Elie St. Brice | Roxbury, MA • PECOS Search

Elie St. Brice

Counselor

Behavioral Health & Social Service Providers

435 Warren St, Roxbury, MA 02119-1833

PECOS Enrollment

Based on the most recent information from CMS, provider Elie St. Brice does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1245463736
Provider Type
Individual
Full Name
St. Brice, Elie
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/31/2009
Last Updated
8/31/2009

Contact Information

Practice Location

435 Warren St, Roxbury, MA 02119-1833

(617) 541-3797

Mailing Location

435 Warren St, Roxbury, MA 02119-1833

(617) 541-3797

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer