Individual ProviderEliana TavaresCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(617) 445-6655PECOS EnrollmentBased on the most recent information from CMS, provider Eliana Tavares 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 ID1699514687Provider TypeIndividualFull NameTavares, ElianaGenderFemaleSole ProprietorNoEnumeration Date5/21/2024Last Updated5/21/2024Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 445-6655FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 445-6655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer