Mind Soul Mental Health Counseling | Staten Island, NY • PECOS Search

Mind Soul Mental Health Counseling

Counselor

Behavioral Health & Social Service Providers

900 South Ave Ste 300, Staten Island, NY 10314-3428

PECOS Enrollment

Based on the most recent information from CMS, provider Mind Soul Mental Health Counseling 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 yesterday at 1:08 PM.

Profile Details

Provider ID
1508558933
Provider Type
Organization
Full Name
Mind Soul Mental Health Counseling

Subpart
No
Enumeration Date
5/24/2023
Last Updated
6/10/2025

Contact Information

Practice Location

900 South Ave Ste 300, Staten Island, NY 10314-3428

(917) 533-9455

Mailing Location

3760 Polar St, Brooklyn, NY 11224-1246

Unlisted Fax

Authorized Official

Abdou, Salma (Lmhc)

Provider Taxonomies

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