Individual ProviderLawrence WilsonCounselorBehavioral Health & Social Service ProvidersPractice Address49 W 24th St Ste 507, New York, NY 10010-3206(718) 974-8549(347) 689-4599PECOS EnrollmentBased on the most recent information from CMS, provider Lawrence Wilson 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 today at 9:42 AM.Profile DetailsProvider ID1386172542Provider TypeIndividualFull NameWilson, LawrenceCredentialMAGenderMaleSole ProprietorYesEnumeration Date5/31/2017Last Updated5/31/2017Contact InformationPractice LocationPractice Address49 W 24th St Ste 507, New York, NY 10010-3206Phone(718) 974-8549FaxUnlisted FaxMailing LocationMailing Address140 Cadman Plz W Apt 17f, Brooklyn, NY 11201-1879Phone(347) 689-4599FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseP0333New York