Individual ProviderDanielle MullenCounselorBehavioral Health & Social Service ProvidersPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612(646) 707-2941PECOS EnrollmentBased on the most recent information from CMS, provider Danielle Mullen 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 ID1912514456Provider TypeIndividualFull NameMullen, DanielleCredentialMHC-LPGenderFemaleSole ProprietorNoEnumeration Date9/29/2020Last Updated9/29/2020Contact InformationPractice LocationPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(646) 707-2941FaxUnlisted FaxMailing LocationMailing Address36 Appleton Dr, Hazlet, NJ 07730-2105Phone(646) 707-2941FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNew YorkCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer