Individual ProviderRavilia HayesCounselorBehavioral Health & Social Service ProvidersPractice Address1810 Carter St, Vidalia, LA 71373(318) 336-4797PECOS EnrollmentBased on the most recent information from CMS, provider Ravilia Hayes 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 9:54 AM.Profile DetailsProvider ID1013408780Provider TypeIndividualFull NameHayes, RaviliaTitleMs.GenderFemaleSole ProprietorYesEnumeration Date5/29/2018Last Updated8/9/2018Contact InformationPractice LocationPractice Address1810 Carter St, Vidalia, LA 71373Phone(318) 336-4797FaxUnlisted FaxMailing LocationMailing Address1810 Carter St, Vidalia, LA 71373-3115Phone(318) 336-4797FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer