Trumeka Clark | Vidalia, LA • PECOS Search

Trumeka Clark

Counselor

Behavioral Health & Social Service Providers

1644 B Carter Street, Suite 2, Vidalia, LA 71373

PECOS Enrollment

Based on the most recent information from CMS, provider Trumeka Clark does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:54 AM.

Profile Details

Provider ID
1154872729
Provider Type
Individual
Full Name
Clark, Trumeka
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/19/2016
Last Updated
10/19/2016

Contact Information

Practice Location

1644 B Carter Street, Suite 2, Vidalia, LA 71373

Unlisted Fax

Mailing Location

1644 B Carter Street, Suite 2, Vidalia, LA 71373

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer