Individual ProviderXavier Shakim HardyCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley Street Roxbury Ma 02119 Or 520 Dudley Street, Boston, MA 02119(617) 445-6655PECOS EnrollmentBased on the most recent information from CMS, provider Xavier Shakim Hardy 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 ID1306668322Provider TypeIndividualFull NameHardy, Xavier ShakimGenderMaleSole ProprietorYesEnumeration Date10/30/2024Last Updated10/30/2024Contact InformationPractice LocationPractice Address504 Dudley Street Roxbury Ma 02119 Or 520 Dudley Street, Boston, MA 02119Phone(617) 445-6655FaxUnlisted FaxMailing LocationMailing Address504 Dudley Street Roxbury Ma 02119 Or 520 Dudley Street, Boston, MA 02119Phone(617) 445-6655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer