OrganizationPatrick O'Connell, LlcCounselorBehavioral Health & Social Service ProvidersPractice Address2005 Valparaiso St, Suite # 109, Valparaiso, IN 46383-3137(219) 465-8794PECOS EnrollmentBased on the most recent information from CMS, provider Patrick O'Connell, Llc 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 4 days ago.Profile DetailsProvider ID1669867016Provider TypeOrganizationFull NamePatrick O'Connell, LlcSubpartNoEnumeration Date4/2/2015Last Updated4/2/2015Contact InformationPractice LocationPractice Address2005 Valparaiso St, Suite # 109, Valparaiso, IN 46383-3137Phone(219) 465-8794Fax(219) 299-2430Mailing LocationMailing Address2005 Valparaiso St, Suite # 109, Valparaiso, IN 46383-3137Phone(219) 465-8794Fax(219) 299-2430Authorized OfficialNameO'Connell, Patrick (Owner)Phone(219) 465-8794Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense39002253AIndiana