Individual ProviderLisa M MillerCase Manager/Care CoordinatorOther Service ProvidersPractice Address1211 Austin Rd, Opelousas, LA 70570(337) 351-1578PECOS EnrollmentBased on the most recent information from CMS, provider Lisa M Miller 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 ID1124535562Provider TypeIndividualFull NameMiller, Lisa MGenderFemaleSole ProprietorYesEnumeration Date1/8/2018Last Updated5/18/2018Contact InformationPractice LocationPractice Address1211 Austin Rd, Opelousas, LA 70570Phone(337) 351-1578FaxUnlisted FaxMailing LocationMailing Address1211 Austin Rd, Opelousas, LA 70570-1315PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YS0200XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer