Individual ProviderDebra Ann BlizzardCounselorBehavioral Health & Social Service ProvidersPractice Address6801 Lake Worth Rd, Suite 101, Greenacres, FL 33467-2955(561) 329-9672PECOS EnrollmentBased on the most recent information from CMS, provider Debra Ann Blizzard 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 ID1730504135Provider TypeIndividualFull NameBlizzard, Debra AnnCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date2/22/2014Last Updated2/22/2014Contact InformationPractice LocationPractice Address6801 Lake Worth Rd, Suite 101, Greenacres, FL 33467-2955Phone(561) 329-9672FaxUnlisted FaxMailing LocationMailing Address4786 Richmond Mews, Haverhill, FL 33415-1337Phone(561) 329-9672FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH12005Florida