Individual ProviderEleanor Hollis WallCounselorBehavioral Health & Social Service ProvidersPractice Address14340 102nd Ave NE, Kirkland, WA 98034(704) 618-2580PECOS EnrollmentBased on the most recent information from CMS, provider Eleanor Hollis Wall 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 2 days ago.Profile DetailsProvider ID1548782915Provider TypeIndividualFull NameWall, Eleanor HollisGenderFemaleSole ProprietorNoEnumeration Date7/7/2017Last Updated7/7/2017Contact InformationPractice LocationPractice Address14340 102nd Ave NE, Kirkland, WA 98034Phone(704) 618-2580FaxUnlisted FaxMailing LocationMailing Address14340 102nd Ave NE, Kirkland, WA 98034-9404PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer