Individual ProviderLauren BallardCounselorBehavioral Health & Social Service ProvidersPractice Address302 Bryan Rd, Brandon, FL 33511-5337(813) 232-3808(352) 701-9694PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Ballard is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1225531759Provider TypeIndividualFull NameBallard, LaurenGenderFemaleSole ProprietorNoEnumeration Date3/11/2018Last Updated3/27/2024Contact InformationPractice LocationPractice Address302 Bryan Rd, Brandon, FL 33511-5337Phone(813) 232-3808FaxUnlisted FaxMailing LocationMailing Address701 94th Ave N Ste 250, St Petersburg, FL 33702-2448Phone(352) 701-9694FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer