Individual ProviderDominique TrimbleCounselorBehavioral Health & Social Service ProvidersPractice Address211 S Spruce St, Vidalia, LA 71373-4054(225) 421-7183PECOS EnrollmentBased on the most recent information from CMS, provider Dominique Trimble 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 ID1023873924Provider TypeIndividualFull NameTrimble, DominiqueGenderFemaleSole ProprietorYesEnumeration Date2/19/2024Last Updated2/19/2024Contact InformationPractice LocationPractice Address211 S Spruce St, Vidalia, LA 71373-4054Phone(225) 421-7183FaxUnlisted FaxMailing LocationMailing Address211 S Spruce St, Vidalia, LA 71373-4054Phone(225) 421-7183FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer