Loren A Gomez | Medford, MA • PECOS Search

Loren A Gomez

Counselor

Behavioral Health & Social Service Providers

35 Hillcroft Park, Medford, MA 02155-2224

PECOS Enrollment

Based on the most recent information from CMS, provider Loren A Gomez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1285095273
Provider Type
Individual
Full Name
Gomez, Loren A
Title
Ms.
Credential
L.M.H.C.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/17/2016
Last Updated
3/17/2016

Contact Information

Practice Location

35 Hillcroft Park, Medford, MA 02155-2224

Unlisted Fax

Mailing Location

35 Hillcroft Park, Medford, MA 02155-2224

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1112 Massachusetts