Individual ProviderLeona TevariCounselorBehavioral Health & Social Service ProvidersPractice Address275 Mystic Ave, Suite 2a, Medford, MA 02155-6301(781) 708-4960PECOS EnrollmentBased on the most recent information from CMS, provider Leona Tevari 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 10:04 AM.Profile DetailsProvider ID1083080253Provider TypeIndividualFull NameTevari, LeonaCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date8/11/2015Last Updated2/2/2016Contact InformationPractice LocationPractice Address275 Mystic Ave, Suite 2a, Medford, MA 02155-6301Phone(781) 708-4960FaxUnlisted FaxMailing LocationMailing Address366 Massachusetts Ave, Suite 101, Arlington, MA 02474-6733Phone(781) 708-4960FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense8588Massachusetts