Individual ProviderAnthony A. MirielloCounselorBehavioral Health & Social Service ProvidersPractice Address1014 Main Street, Vancouver, WA 98661(360) 695-1014PECOS EnrollmentBased on the most recent information from CMS, provider Anthony A. Miriello 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 ID1255614095Provider TypeIndividualFull NameMiriello, Anthony A.CredentialM.A.GenderMaleSole ProprietorYesEnumeration Date9/27/2011Last Updated1/6/2012Contact InformationPractice LocationPractice Address1014 Main Street, Vancouver, WA 98661Phone(360) 695-1014Fax(360) 750-1374Mailing LocationMailing Address1014 Main Street, Vancouver, WA 98661Phone(360) 695-1014Fax(360) 750-1374Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCG60226214Washington