Individual ProviderTimeshia GreenCounselorBehavioral Health & Social Service ProvidersPractice Address1701 White St, Mccomb, MS 39648-2711(601) 249-4218PECOS EnrollmentBased on the most recent information from CMS, provider Timeshia Green 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 9:15 AM.Profile DetailsProvider ID1033767330Provider TypeIndividualFull NameGreen, TimeshiaGenderFemaleSole ProprietorNoEnumeration Date8/29/2019Last Updated8/29/2019Contact InformationPractice LocationPractice Address1701 White St, Mccomb, MS 39648-2711Phone(601) 249-4218Fax(601) 249-4234Mailing LocationMailing Address1701 White St, Mccomb, MS 39648-2711Phone(601) 249-4218Fax(601) 249-4234Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer