OrganizationLiving Well Counseling ServiceCommunity/Behavioral HealthAgenciesPractice Address7312 Hihenge Ct, 7, Raleigh, NC 27615-4313(313) 410-1871PECOS EnrollmentBased on the most recent information from CMS, provider Living Well Counseling Service 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 ID1821479080Provider TypeOrganizationFull NameLiving Well Counseling ServiceSubpartNoEnumeration Date6/14/2015Last Updated7/15/2015Contact InformationPractice LocationPractice Address7312 Hihenge Ct, 7, Raleigh, NC 27615-4313Phone(313) 410-1871FaxUnlisted FaxMailing LocationMailing Address7312 Hihenge Ct, 7, Raleigh, NC 27615-4313PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameAffum, Eboni (Chief Executive Officer)Phone(313) 410-1871Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseC007345North CarolinaProvider IdentifiersIDDescriptionIssuerID1982913398DescriptionMedicaidIssuerUnlistedNorth Carolina