Individual ProviderCornell DavisCounselorBehavioral Health & Social Service ProvidersPractice Address4 Cornerstone Dr, Langhorne, PA 19047-1314(215) 757-6916(267) 242-3701PECOS EnrollmentBased on the most recent information from CMS, provider Cornell Davis 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 today at 11:36 AM.Profile DetailsProvider ID1265099659Provider TypeIndividualFull NameDavis, CornellCredentialMSWGenderMaleSole ProprietorYesEnumeration Date5/21/2019Last Updated5/21/2019Contact InformationPractice LocationPractice Address4 Cornerstone Dr, Langhorne, PA 19047-1314Phone(215) 757-6916FaxUnlisted FaxMailing LocationMailing Address224 Stevens St, Philadelphia, PA 19111-5917Phone(267) 242-3701FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer