Individual ProviderKristin WaddellCounselorBehavioral Health & Social Service ProvidersPractice Address2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120(772) 489-4726(772) 486-0461PECOS EnrollmentBased on the most recent information from CMS, provider Kristin Waddell 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 ID1417362088Provider TypeIndividualFull NameWaddell, KristinTitleMissGenderFemaleSole ProprietorYesEnumeration Date6/23/2014Last Updated6/23/2014Contact InformationPractice LocationPractice Address2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120Phone(772) 489-4726FaxUnlisted FaxMailing LocationMailing Address1515 NE Beacon Dr, Apt 607, Jensen Beach, FL 34957-5781Phone(772) 486-0461FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer