Individual ProviderTaly KadochCounselorBehavioral Health & Social Service ProvidersPractice Address1966 NE 125th Street, #210, Miami, FL 33181(954) 275-3023PECOS EnrollmentBased on the most recent information from CMS, provider Taly Kadoch 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 4 days ago.Profile DetailsProvider ID1912367798Provider TypeIndividualFull NameKadoch, TalyCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date3/7/2016Last Updated3/7/2016Contact InformationPractice LocationPractice Address1966 NE 125th Street, #210, Miami, FL 33181Phone(954) 275-3023FaxUnlisted FaxMailing LocationMailing Address1966 NE 125th Street #210, Miami, FL 33181Phone(954) 275-3023FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH10697Florida