Individual ProviderIvonne FragaCounselorBehavioral Health & Social Service ProvidersPractice Address2506 Sunrise Blvd, Fort Pierce, FL 34982-3557(772) 626-5074(772) 208-6224PECOS EnrollmentBased on the most recent information from CMS, provider Ivonne Fraga is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992395248Provider TypeIndividualFull NameFraga, IvonneCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date1/21/2021Last Updated4/28/2025Contact InformationPractice LocationPractice Address2506 Sunrise Blvd, Fort Pierce, FL 34982-3557Phone(772) 626-5074FaxUnlisted FaxMailing LocationMailing Address2506 Sunrise Blvd, Fort Pierce, FL 34982-3557Phone(772) 208-6224FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH22487Florida