Tindi Miranda | Roxbury, MA • PECOS Search

Tindi Miranda

Counselor

Behavioral Health & Social Service Providers

520 Dudley St, Roxbury, MA 02119

(617) 445-6655 (617) 840-0111

PECOS Enrollment

Based on the most recent information from CMS, provider Tindi Miranda does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437447927
Provider Type
Individual
Full Name
Miranda, Tindi
Gender
Female

Sole Proprietor
Yes
Enumeration Date
7/18/2011
Last Updated
7/18/2011

Contact Information

Practice Location

520 Dudley St, Roxbury, MA 02119

Unlisted Fax

Mailing Location

40 Julian St, Dorchester, MA 02125-2938

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer