OrganizationPhyllis Mccolister-Cunningham Pa(<Unavail>)CounselorBehavioral Health & Social Service ProvidersPractice Address900 Virginia Ave Ste 7, Fort Pierce, FL 34982-5882(772) 448-4189PECOS EnrollmentBased on the most recent information from CMS, provider Phyllis Mccolister-Cunningham Pa 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 12:57 PM.Profile DetailsProvider ID1912611260Provider TypeOrganizationFull NamePhyllis Mccolister-Cunningham PaOther Name<Unavail>SubpartNoEnumeration Date1/11/2023Last Updated12/5/2023Contact InformationPractice LocationPractice Address900 Virginia Ave Ste 7, Fort Pierce, FL 34982-5882Phone(772) 448-4189Fax(772) 245-4259Mailing LocationMailing Address900 Virginia Ave Ste 7, Fort Pierce, FL 34982-5882Phone(772) 448-4189Fax(772) 245-4259Authorized OfficialNameMccolister-Cunningham, Phyllis (Owner)Phone(772) 448-4189Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer