Individual ProviderElizabeth James DivensCounselorBehavioral Health & Social Service ProvidersPractice Address184 Dudley Street, Suite 107ll, Roxbury, MA 02119(617) 442-2002PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth James Divens 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 2 days ago.Profile DetailsProvider ID1336475912Provider TypeIndividualFull NameJames Divens, ElizabethCredentialM.EDGenderFemaleSole ProprietorYesEnumeration Date11/2/2009Last Updated11/2/2009Contact InformationPractice LocationPractice Address184 Dudley Street, Suite 107ll, Roxbury, MA 02119Phone(617) 442-2002Fax(617) 442-4002Mailing LocationMailing Address184 Dudley Street, Suite 107ll, Roxbury, MA 02119Phone(617) 442-2002Fax(617) 442-4002Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer