Individual ProviderJustin MaiselCounselorBehavioral Health & Social Service ProvidersPractice Address7138 Lake Worth Rd Ste D, Lake Worth, FL 33467-2970(561) 288-0377(561) 504-7811PECOS EnrollmentBased on the most recent information from CMS, provider Justin Maisel 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 3 days ago.Profile DetailsProvider ID1669104220Provider TypeIndividualFull NameMaisel, JustinGenderMaleSole ProprietorNoEnumeration Date6/30/2022Last Updated6/30/2022Contact InformationPractice LocationPractice Address7138 Lake Worth Rd Ste D, Lake Worth, FL 33467-2970Phone(561) 288-0377FaxUnlisted FaxMailing LocationMailing Address19669 Estuary Dr, Boca Raton, FL 33498-6202Phone(561) 504-7811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer