Individual ProviderLenda CarrilloCounselorBehavioral Health & Social Service ProvidersPractice Address920 E Baltimore Pike, Kennett Square, PA 19348-1800(610) 742-3529(610) 388-7400PECOS EnrollmentBased on the most recent information from CMS, provider Lenda Carrillo is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:48 AM.Profile DetailsProvider ID1518705094Provider TypeIndividualFull NameCarrillo, LendaGenderFemaleSole ProprietorNoEnumeration Date7/18/2024Last Updated7/18/2024Contact InformationPractice LocationPractice Address920 E Baltimore Pike, Kennett Square, PA 19348-1800Phone(610) 742-3529FaxUnlisted FaxMailing LocationMailing Address920 E Baltimore Pike, Kennett Square, PA 19348-1800Phone(610) 388-7400FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense017373Pennsylvania