Individual ProviderLeosha Ura NoelCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley Street, Boston, MA 02119(617) 989-9459PECOS EnrollmentBased on the most recent information from CMS, provider Leosha Ura Noel 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 12:57 PM.Profile DetailsProvider ID1528597275Provider TypeIndividualFull NameNoel, Leosha UraGenderFemaleSole ProprietorYesEnumeration Date6/7/2017Last Updated12/24/2020Contact InformationPractice LocationPractice Address520 Dudley Street, Boston, MA 02119Phone(617) 989-9459FaxUnlisted FaxMailing LocationMailing Address225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer