OrganizationMental Health Counseling Of Staten Island PcCounselorBehavioral Health & Social Service ProvidersPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612(917) 781-0041PECOS EnrollmentBased on the most recent information from CMS, provider Mental Health Counseling Of Staten Island Pc 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 1:08 PM.Profile DetailsProvider ID1417798356Provider TypeOrganizationFull NameMental Health Counseling Of Staten Island PcSubpartNoEnumeration Date6/4/2024Last Updated7/15/2025Contact InformationPractice LocationPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(917) 781-0041FaxUnlisted FaxMailing LocationMailing Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(917) 781-0041FaxUnlisted FaxAuthorized OfficialNameFalcone, Lucia (Lmhc)Phone(347) 733-9964Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer