Okera Momar Mitchell | Boston, MA • PECOS Search

Okera Momar Mitchell

Counselor

Behavioral Health & Social Service Providers

20 Maywood St, Boston, MA 02119-2182

PECOS Enrollment

Based on the most recent information from CMS, provider Okera Momar Mitchell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679952980
Provider Type
Individual
Full Name
Mitchell, Okera Momar
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/20/2015
Last Updated
5/20/2015

Contact Information

Practice Location

20 Maywood St, Boston, MA 02119-2182

Unlisted Fax

Mailing Location

20 Maywood St, Boston, MA 02119-2182

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License S776979 Massachusetts