Individual ProviderStacy BlazioCase Manager/Care CoordinatorOther Service ProvidersPractice Address401 W Morris Ave, Hammond, LA 70403(567) 000-0000(504) 304-3737PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Blazio 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 8 days ago.Profile DetailsProvider ID1003338617Provider TypeIndividualFull NameBlazio, StacyTitleMs.GenderFemaleSole ProprietorYesEnumeration Date7/14/2017Last Updated6/1/2018Contact InformationPractice LocationPractice Address401 W Morris Ave, Hammond, LA 70403Phone(567) 000-0000FaxUnlisted FaxMailing LocationMailing Address401 W Morris Ave, Hammond, LA 70403-4121Phone(504) 304-3737FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerLouisianaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer