Chanda Petin | Brandon, FL • PECOS Search

Chanda Petin

Counselor

Behavioral Health & Social Service Providers

220 W Brandon Blvd Ste 204, Brandon, FL 33511-5100

PECOS Enrollment

Based on the most recent information from CMS, provider Chanda Petin 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 11:06 AM.

Profile Details

Provider ID
1902665243
Provider Type
Individual
Full Name
Petin, Chanda
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/18/2024
Last Updated
3/18/2024

Contact Information

Practice Location

220 W Brandon Blvd Ste 204, Brandon, FL 33511-5100

Unlisted Fax

Mailing Location

PO Box 273493, Tampa, FL 33688-3493

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer