OrganizationThe Mind Room, LlcCounselorBehavioral Health & Social Service ProvidersPractice Address81 Watertown St, Watertown, MA 02472-2569(617) 818-1728PECOS EnrollmentBased on the most recent information from CMS, provider The Mind Room, 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 yesterday at 9:43 AM.Profile DetailsProvider ID1689264293Provider TypeOrganizationFull NameThe Mind Room, LlcSubpartNoEnumeration Date1/19/2021Last Updated1/19/2021Contact InformationPractice LocationPractice Address81 Watertown St, Watertown, MA 02472-2569Phone(617) 818-1728FaxUnlisted FaxMailing LocationMailing Address81 Watertown St, Watertown, MA 02472-2569Phone(617) 818-1728FaxUnlisted FaxAuthorized OfficialNameWerner, Jessica (Owner)Phone(617) 818-1728Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer