Individual ProviderCora BrunoCounselorBehavioral Health & Social Service ProvidersPractice Address11811 N Tatum Blvd, 4040, Phoenix, AZ 85028-1614(602) 550-8356PECOS EnrollmentBased on the most recent information from CMS, provider Cora Bruno 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 ID1417055781Provider TypeIndividualFull NameBruno, CoraCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date9/20/2006Last Updated3/15/2016Contact InformationPractice LocationPractice Address11811 N Tatum Blvd, 4040, Phoenix, AZ 85028-1614Phone(602) 550-8356FaxUnlisted FaxMailing LocationMailing Address11811 N Tatum Blvd, 4040, Phoenix, AZ 85028-1614Phone(602) 550-8356FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense10729Arizona