Elan Klein | Lake Worth, FL • PECOS Search

Elan Klein

Counselor

Behavioral Health & Social Service Providers

6388 Squirewood Way, Lake Worth, FL 33467-7224

PECOS Enrollment

Based on the most recent information from CMS, provider Elan Klein does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1902251762
Provider Type
Individual
Full Name
Klein, Elan
Gender
Female

Sole Proprietor
Yes
Enumeration Date
4/29/2016
Last Updated
4/29/2016

Contact Information

Practice Location

6388 Squirewood Way, Lake Worth, FL 33467-7224

Unlisted Fax

Mailing Location

6388 Squirewood Way, Lake Worth, FL 33467-7224

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH10104 Florida