Bernard Joseph Sousse | Holyoke, MA • PECOS Search

Bernard Joseph Sousse

Counselor

Behavioral Health & Social Service Providers

1727 Northampton St, Holyoke, MA 01040-1919

(413) 532-0926 (413) 210-6979

PECOS Enrollment

Based on the most recent information from CMS, provider Bernard Joseph Sousse 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 12:57 PM.

Profile Details

Provider ID
1780758565
Provider Type
Individual
Full Name
Sousse, Bernard Joseph
Title
Mr.
Credential
M.A.

Gender
Male
Sole Proprietor
No
Enumeration Date
11/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1727 Northampton St, Holyoke, MA 01040-1919

(413) 532-0928

Mailing Location

4 Taylor St, Holyoke, MA 01040-3328

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 5362 Massachusetts