Individual ProviderKyle Edward ColellaCounselorBehavioral Health & Social Service ProvidersPractice Address360 Route 101 Ste 14c, Bedford, NH 03110-5046(603) 755-6535(603) 512-0536PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Edward Colella 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 2 days ago.Profile DetailsProvider ID1427802636Provider TypeIndividualFull NameColella, Kyle EdwardGenderMaleSole ProprietorNoEnumeration Date4/15/2024Last Updated4/15/2024Contact InformationPractice LocationPractice Address360 Route 101 Ste 14c, Bedford, NH 03110-5046Phone(603) 755-6535FaxUnlisted FaxMailing LocationMailing Address10 Olde English Rd, Bedford, NH 03110-5619Phone(603) 512-0536FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer