Jaid Barrymore | New York, NY • PECOS Search

Jaid Barrymore

Counselor

Behavioral Health & Social Service Providers

51 E 25th St Lowr Level, New York, NY 10010-2945

(323) 553-1782 (646) 369-8984

PECOS Enrollment

Based on the most recent information from CMS, provider Jaid Barrymore 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 today at 9:42 AM.

Profile Details

Provider ID
1770065054
Provider Type
Individual
Full Name
Barrymore, Jaid
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/3/2018
Last Updated
9/3/2018

Contact Information

Practice Location

51 E 25th St Lowr Level, New York, NY 10010-2945

Unlisted Fax

Mailing Location

12 E 22nd St Apt 8e, New York, NY 10010-6112

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 008818 New York