Individual ProviderMora LuceroCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(857) 919-7922PECOS EnrollmentBased on the most recent information from CMS, provider Mora Lucero 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 2 days ago.Profile DetailsProvider ID1740922913Provider TypeIndividualFull NameLucero, MoraGenderFemaleSole ProprietorYesEnumeration Date4/8/2022Last Updated4/8/2022Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(857) 919-7922FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer