Individual ProviderSamantha Alison MoiseCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave, Medford, MA 02155-4632(781) 396-1199(917) 488-9622PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Alison Moise 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 10:04 AM.Profile DetailsProvider ID1992205405Provider TypeIndividualFull NameMoise, Samantha AlisonGenderFemaleSole ProprietorNoEnumeration Date2/20/2018Last Updated12/7/2021Contact InformationPractice LocationPractice Address151 Mystic Ave, Medford, MA 02155-4632Phone(781) 396-1199FaxUnlisted FaxMailing LocationMailing Address2 Washington St, Melrose, MA 02176-6055Phone(917) 488-9622FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer