Individual ProviderBrenna Marie NicholsonCounselorBehavioral Health & Social Service ProvidersPractice Address408 Highland Ave, Bldg A, Suite 6, Cheshire, CT 06410-2525(203) 494-9030PECOS EnrollmentBased on the most recent information from CMS, provider Brenna Marie Nicholson 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 yesterday at 4:18 PM.Profile DetailsProvider ID1982906715Provider TypeIndividualFull NameNicholson, Brenna MarieTitleMrs.CredentialLPCGenderFemaleSole ProprietorYesEnumeration Date11/30/2010Last Updated4/10/2012Contact InformationPractice LocationPractice Address408 Highland Ave, Bldg A, Suite 6, Cheshire, CT 06410-2525Phone(203) 494-9030FaxUnlisted FaxMailing LocationMailing Address408 Highland Ave, Bldg A, Suite 6, Cheshire, CT 06410-2525Phone(203) 494-9030FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense001919ConnecticutCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense001919Connecticut