Individual ProviderSamantha CimabueCounselorBehavioral Health & Social Service ProvidersPractice Address701 E Baltimore Pike Ste C, Kennett Square, PA 19348-2400(742) 578-6222PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Cimabue 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 11:48 AM.Profile DetailsProvider ID1922860071Provider TypeIndividualFull NameCimabue, SamanthaGenderFemaleSole ProprietorYesEnumeration Date1/24/2024Last Updated1/24/2024Contact InformationPractice LocationPractice Address701 E Baltimore Pike Ste C, Kennett Square, PA 19348-2400Phone(742) 578-6222FaxUnlisted FaxMailing LocationMailing Address701 E Baltimore Pike Ste C, Kennett Square, PA 19348-2400PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePC016190PennsylvaniaCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseBH005050Pennsylvania