Individual ProviderColleen Corah HitchcockCounselorBehavioral Health & Social Service ProvidersPractice Address11260 N Tatum Blvd, Phoenix, AZ 85028-2307(602) 614-4471PECOS EnrollmentBased on the most recent information from CMS, provider Colleen Corah Hitchcock 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 ID1720817091Provider TypeIndividualFull NameHitchcock, Colleen CorahGenderFemaleSole ProprietorYesEnumeration Date7/26/2024Last Updated8/1/2024Contact InformationPractice LocationPractice Address11260 N Tatum Blvd, Phoenix, AZ 85028-2307Phone(602) 614-4471FaxUnlisted FaxMailing LocationMailing Address11260 N Tatum Blvd, Phoenix, AZ 85028-2307Phone(602) 614-4471FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer