Individual ProviderCarla Raina MayellusCounselorBehavioral Health & Social Service ProvidersPractice Address1765 South Ave, Staten Island, NY 10314-3604(718) 982-6982PECOS EnrollmentBased on the most recent information from CMS, provider Carla Raina Mayellus 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 1:08 PM.Profile DetailsProvider ID1801757026Provider TypeIndividualFull NameMayellus, Carla RainaGenderFemaleSole ProprietorYesEnumeration Date11/18/2025Last Updated11/18/2025Contact InformationPractice LocationPractice Address1765 South Ave, Staten Island, NY 10314-3604Phone(718) 982-6982FaxUnlisted FaxMailing LocationMailing Address1765 South Ave, Staten Island, NY 10314-3604Phone(718) 982-6982FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNew York