Individual ProviderErin CookCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave, Medford, MA 02155-4632(781) 396-1199(617) 417-0319PECOS EnrollmentBased on the most recent information from CMS, provider Erin Cook 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 ID1255754412Provider TypeIndividualFull NameCook, ErinCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date1/23/2014Last Updated1/23/2014Contact InformationPractice LocationPractice Address151 Mystic Ave, Medford, MA 02155-4632Phone(781) 396-1199FaxUnlisted FaxMailing LocationMailing Address108 Summit Rd, Abington, MA 02351-1208Phone(617) 417-0319FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense8471MassachusettsCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense313320Massachusetts