OrganizationMental Health Counseling Of Staten Island, PcCounselorBehavioral Health & Social Service ProvidersPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612(347) 733-9964PECOS 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 ID1447786751Provider TypeOrganizationFull NameMental Health Counseling Of Staten Island, PcSubpartNoEnumeration Date5/5/2017Last Updated12/1/2020Contact InformationPractice LocationPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(347) 733-9964Fax(212) 877-5504Mailing LocationMailing Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(347) 733-9964Fax(212) 877-5504Authorized OfficialNameFalcone, Lucia (Owner)Phone(347) 733-9964Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense007543New YorkProvider IdentifiersIDDescriptionIssuerID007543DescriptionOtherIssuerLMHCNew York