Individual ProviderDolores Barbara LundgrenCounselorBehavioral Health & Social Service ProvidersPractice Address1 Oxford Vly, Suite 814, Langhorne, PA 19047-1830(215) 264-0070PECOS EnrollmentBased on the most recent information from CMS, provider Dolores Barbara Lundgren 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 today at 11:36 AM.Profile DetailsProvider ID1942350137Provider TypeIndividualFull NameLundgren, Dolores BarbaraCredentialLPCGenderFemaleSole ProprietorYesEnumeration Date1/11/2007Last Updated9/8/2009Contact InformationPractice LocationPractice Address1 Oxford Vly, Suite 814, Langhorne, PA 19047-1830Phone(215) 264-0070Fax(215) 949-7677Mailing LocationMailing Address343 Andrew Rd, Huntingdon Valley, PA 19006-2358Phone(215) 264-0070Fax(215) 947-7677Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePC004218PennsylvaniaProvider IdentifiersIDDescriptionIssuerID2785690000DescriptionOtherIssuerPERSONAL CHOICEPennsylvaniaID600017359DescriptionOtherIssuerMAGELLANPennsylvania