OrganizationMind Muse Therapeutic Consulting Services Lcsw PllcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address46 Gramatan Ave # 1077, Mount Vernon, NY 10550-1306(650) 392-5921PECOS EnrollmentBased on the most recent information from CMS, provider Mind Muse Therapeutic Consulting Services Lcsw Pllc 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 ID1699420687Provider TypeOrganizationFull NameMind Muse Therapeutic Consulting Services Lcsw PllcSubpartNoEnumeration Date2/17/2022Last Updated2/17/2022Contact InformationPractice LocationPractice Address46 Gramatan Ave # 1077, Mount Vernon, NY 10550-1306Phone(650) 392-5921FaxUnlisted FaxMailing LocationMailing Address46 Gramatan Ave # 1077, Mount Vernon, NY 10550-1306PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameFernandez, Judy (Clinical Social Worker)Phone(650) 392-5921Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer