Individual ProviderElizabeth WaddleCounselorBehavioral Health & Social Service ProvidersPractice Address25955 W 327th St, Paola, KS 66071-4920(913) 557-9096PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Waddle 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 ID1154744043Provider TypeIndividualFull NameWaddle, ElizabethGenderFemaleSole ProprietorNoEnumeration Date1/28/2014Last Updated1/28/2014Contact InformationPractice LocationPractice Address25955 W 327th St, Paola, KS 66071-4920Phone(913) 557-9096Fax(913) 294-9247Mailing LocationMailing AddressPO Box 677, Ottawa, KS 66067-0677Phone(913) 557-9096Fax(913) 294-9247Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC 2593Kansas