Bettina Randles | Watertown, MA • PECOS Search

Bettina Randles

Counselor

Behavioral Health & Social Service Providers

14 Center St, Watertown, MA 02472-4036

PECOS Enrollment

Based on the most recent information from CMS, provider Bettina Randles 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
1508910654
Provider Type
Individual
Full Name
Randles, Bettina
Title
Mrs.
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/23/2007
Last Updated
7/8/2007

Contact Information

Practice Location

14 Center St, Watertown, MA 02472-4036

Unlisted Fax

Mailing Location

14 Center St, Watertown, MA 02472-4036

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 590 Massachusetts