Individual ProviderYvonnette MarshallCounselorBehavioral Health & Social Service ProvidersPractice Address900 Virginia Ave Ste 7, Fort Pierce, FL 34982-5882(772) 448-4189PECOS EnrollmentBased on the most recent information from CMS, provider Yvonnette Marshall 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 ID1629808399Provider TypeIndividualFull NameMarshall, YvonnetteCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date8/6/2024Last Updated8/6/2024Contact InformationPractice LocationPractice Address900 Virginia Ave Ste 7, Fort Pierce, FL 34982-5882Phone(772) 448-4189FaxUnlisted FaxMailing LocationMailing Address2704 Oak Alley Dr, Fort Pierce, FL 34981-5082PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH23580Florida