Individual ProviderKyra FontenotCase Manager/Care CoordinatorOther Service ProvidersPractice Address810 W Cherry St, Apt 9, Opelousas, LA 70570(337) 662-3737PECOS EnrollmentBased on the most recent information from CMS, provider Kyra Fontenot 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 3 days ago.Profile DetailsProvider ID1083167779Provider TypeIndividualFull NameFontenot, KyraCredentialMHPGenderFemaleSole ProprietorNoEnumeration Date7/28/2016Last Updated6/22/2018Contact InformationPractice LocationPractice Address810 W Cherry St, Apt 9, Opelousas, LA 70570Phone(337) 662-3737FaxUnlisted FaxMailing LocationMailing Address810 W Cherry St, Apt 9, Opelousas, LA 70570-4277Phone(337) 662-3737FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer