Yasmin Miller | Staten Island, NY • PECOS Search

Yasmin Miller

Counselor

Behavioral Health & Social Service Providers

1000 Willowbrook Rd Apt 3a, Staten Island, NY 10314-6512

PECOS Enrollment

Based on the most recent information from CMS, provider Yasmin Miller 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 1:08 PM.

Profile Details

Provider ID
1912749128
Provider Type
Individual
Full Name
Miller, Yasmin
Credential
LMSA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/10/2024
Last Updated
6/10/2024

Contact Information

Practice Location

1000 Willowbrook Rd Apt 3a, Staten Island, NY 10314-6512

Unlisted Fax

Mailing Location

1000 Willowbrook Rd Apt 3a, Staten Island, NY 10314-6512

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 12342201 New York