Individual ProviderPorsha BowenCounselorBehavioral Health & Social Service ProvidersPractice Address1864 Pelican Dr # A2, Fort Pierce, FL 34982-8042(973) 727-1394PECOS EnrollmentBased on the most recent information from CMS, provider Porsha Bowen 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 ID1588177687Provider TypeIndividualFull NameBowen, PorshaGenderFemaleSole ProprietorYesEnumeration Date11/10/2017Last Updated8/27/2025Contact InformationPractice LocationPractice Address1864 Pelican Dr # A2, Fort Pierce, FL 34982-8042Phone(973) 727-1394FaxUnlisted FaxMailing LocationMailing Address1864 Pelican Dr # A2, Fort Pierce, FL 34982-8042Phone(973) 727-1394FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH26167FloridaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer