OrganizationRichard Whittemore Pa(Banyan Group)CounselorBehavioral Health & Social Service ProvidersPractice Address3898 Via Poinciana, Suite 13, Lake Worth, FL 33467-2951(561) 967-2566PECOS EnrollmentBased on the most recent information from CMS, provider Richard Whittemore Pa 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 ID1831295559Provider TypeOrganizationFull NameRichard Whittemore PaOther NameBanyan GroupSubpartNoEnumeration Date9/16/2006Last Updated7/20/2009Contact InformationPractice LocationPractice Address3898 Via Poinciana, Suite 13, Lake Worth, FL 33467-2951Phone(561) 967-2566Fax(561) 967-4556Mailing LocationMailing Address3898 Via Poinciana, Suite 13, Lake Worth, FL 33467-2951Phone(561) 967-2566Fax(561) 967-4556Authorized OfficialNameWhittemore, Richerd (Executive Director)Phone(561) 967-2566Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseSW001957Florida