Individual ProviderStacy HavardCounselorBehavioral Health & Social Service ProvidersPractice Address1644 B Carter St, Vidalia, LA 71373(318) 414-3065PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Havard 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 9:54 AM.Profile DetailsProvider ID1154793313Provider TypeIndividualFull NameHavard, StacyGenderFemaleSole ProprietorYesEnumeration Date10/28/2015Last Updated10/28/2015Contact InformationPractice LocationPractice Address1644 B Carter St, Vidalia, LA 71373Phone(318) 414-3065Fax(318) 414-3067Mailing LocationMailing Address1644 B Carter Street., Ste 2, Vidalia, LA 71373Phone(318) 414-3065Fax(318) 414-3067Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer