Individual ProviderLaurie Ann MilesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4852 Manassas Dr, Brentwood, TN 37027-1727(615) 373-1981PECOS EnrollmentBased on the most recent information from CMS, provider Laurie Ann Miles 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 11:54 AM.Profile DetailsProvider ID1033164983Provider TypeIndividualFull NameMiles, Laurie AnnTitleMs.GenderFemaleSole ProprietorYesEnumeration Date5/22/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4852 Manassas Dr, Brentwood, TN 37027-1727Phone(615) 373-1981Fax(615) 216-2172Mailing LocationMailing Address4852 Manassas Dr, Brentwood, TN 37027-1727Phone(615) 373-1981Fax(615) 216-2172Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1043TennesseeProvider IdentifiersIDDescriptionIssuerID218811DescriptionOtherIssuerCOMPSYCH CORPORATIONTennesseeID4602650DescriptionOtherIssuerAETNATennesseeID4062246DescriptionOtherIssuerBLUE CROSS/BLUE SHIELDTennesseeID42-866619DescriptionOtherIssuerUNITED HEALTHCARETennesseeID2284094DescriptionOtherIssuerAETNA LIFE INSURANCE, TXTennessee