Individual ProviderShaheem ShabazzCounselorBehavioral Health & Social Service ProvidersPractice Address2005 Cabot Blvd W, Langhorne, PA 19047-1885(267) 587-2300(215) 752-1541PECOS EnrollmentBased on the most recent information from CMS, provider Shaheem Shabazz 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 ID1376948885Provider TypeIndividualFull NameShabazz, ShaheemGenderMaleSole ProprietorYesEnumeration Date10/27/2014Last Updated10/27/2014Contact InformationPractice LocationPractice Address2005 Cabot Blvd W, Langhorne, PA 19047-1885Phone(267) 587-2300FaxUnlisted FaxMailing LocationMailing Address1517 Durham Rd, Penndel, PA 19047-5707Phone(215) 752-1541FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer