Individual ProviderAmanda MalcolmCounselorBehavioral Health & Social Service ProvidersPractice Address2005 Cabot Blvd W, Langhorne, PA 19047-1885(267) 587-2300PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Malcolm 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 ID1629654512Provider TypeIndividualFull NameMalcolm, AmandaGenderFemaleSole ProprietorYesEnumeration Date3/22/2021Last Updated3/22/2021Contact InformationPractice LocationPractice Address2005 Cabot Blvd W, Langhorne, PA 19047-1885Phone(267) 587-2300FaxUnlisted FaxMailing LocationMailing Address2005 Cabot Blvd W, Langhorne, PA 19047-1885PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer