Individual ProviderMercedes PhippsCounselorBehavioral Health & Social Service ProvidersPractice Address1109 Carter St, Suite 19, Vidalia, LA 71373-3227(318) 336-4700PECOS EnrollmentBased on the most recent information from CMS, provider Mercedes Phipps 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 ID1205388063Provider TypeIndividualFull NamePhipps, MercedesGenderFemaleSole ProprietorNoEnumeration Date10/27/2016Last Updated10/27/2016Contact InformationPractice LocationPractice Address1109 Carter St, Suite 19, Vidalia, LA 71373-3227Phone(318) 336-4700Fax(318) 336-4777Mailing LocationMailing Address1109 Carter St, Suite 19, Vidalia, LA 71373-3227Phone(318) 336-4700Fax(318) 336-4777Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer