Individual ProviderMichele M BrannanCounselorBehavioral Health & Social Service ProvidersPractice Address360 Rte 101, Suite 10, Bedford, NH 03110(603) 472-8657PECOS EnrollmentBased on the most recent information from CMS, provider Michele M Brannan 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 2 days ago.Profile DetailsProvider ID1790859262Provider TypeIndividualFull NameBrannan, Michele MTitleMrs.CredentialLICENSED CLINICAL MEGenderFemaleSole ProprietorNoEnumeration Date11/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address360 Rte 101, Suite 10, Bedford, NH 03110Phone(603) 472-8657Fax(603) 672-4546Mailing LocationMailing AddressPO Box 401, Amherst, NH 03031Phone(603) 472-8657Fax(603) 672-4546Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense24New HampshireProvider IdentifiersIDDescriptionIssuerID29370DescriptionOtherIssuerNATIONAL BOARD OF CERTIFIID80009139DescriptionMedicaidIssuerUnlistedNew HampshireID24DescriptionOtherIssuerBOARD OF PSYCHOLOGY & MENNew Hampshire