Individual ProviderZoe BryanCounselorBehavioral Health & Social Service ProvidersPractice Address10 Malvern Ter, Medford, MA 02155-5605(541) 505-4756PECOS EnrollmentBased on the most recent information from CMS, provider Zoe Bryan 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 yesterday at 10:04 AM.Profile DetailsProvider ID1790499044Provider TypeIndividualFull NameBryan, ZoeCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date1/11/2023Last Updated1/11/2023Contact InformationPractice LocationPractice Address10 Malvern Ter, Medford, MA 02155-5605Phone(541) 505-4756FaxUnlisted FaxMailing LocationMailing Address10 Malvern Ter, Medford, MA 02155-5605PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense12505Massachusetts