Individual ProviderLynnchetta Latonish LewisCase Manager/Care CoordinatorOther Service ProvidersPractice Address805 S Union St, Opelousas, LA 70570-6029(337) 678-4004(337) 580-8067PECOS EnrollmentBased on the most recent information from CMS, provider Lynnchetta Latonish Lewis 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 2 days ago.Profile DetailsProvider ID1033682133Provider TypeIndividualFull NameLewis, Lynnchetta LatonishGenderFemaleSole ProprietorNoEnumeration Date1/10/2019Last Updated1/15/2019Contact InformationPractice LocationPractice Address805 S Union St, Opelousas, LA 70570-6029Phone(337) 678-4004Fax(337) 678-3777Mailing LocationMailing Address430 Perrotti St, Eunice, LA 70535-6104Phone(337) 580-8067FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode106E00000XDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisiana