Individual ProviderAmanda Lauren WoodCounselorBehavioral Health & Social Service ProvidersPractice Address2291 Victory Blvd, Staten Island, NY 10314-6625(929) 529-5273(646) 258-7970PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Lauren Wood 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 ID1972007243Provider TypeIndividualFull NameWood, Amanda LaurenCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date3/21/2018Last Updated10/1/2021Contact InformationPractice LocationPractice Address2291 Victory Blvd, Staten Island, NY 10314-6625Phone(929) 529-5273FaxUnlisted FaxMailing LocationMailing Address153 New Dorp Ln Ste 6, Staten Island, NY 10306-3050Phone(646) 258-7970FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense010006New YorkCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseP09577New York