Desiree Alanna Dickens | Staten Island, NY • PECOS Search

Desiree Alanna Dickens

Counselor

Behavioral Health & Social Service Providers

2460 Victory Blvd, Staten Island, NY 10314-6612

PECOS Enrollment

Based on the most recent information from CMS, provider Desiree Alanna Dickens 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 yesterday at 1:08 PM.

Profile Details

Provider ID
1699213207
Provider Type
Individual
Full Name
Dickens, Desiree Alanna
Title
Ms.
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/2/2017
Last Updated
2/2/2017

Contact Information

Practice Location

2460 Victory Blvd, Staten Island, NY 10314-6612

Unlisted Fax

Mailing Location

2460 Victory Blvd, Staten Island, NY 10314-6612

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 006486 New York