Individual ProviderKerris LayneCounselorBehavioral Health & Social Service ProvidersPractice Address7141 S Western Ave, Oklahoma City, OK 73139-2000(405) 339-2097PECOS EnrollmentBased on the most recent information from CMS, provider Kerris Layne 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 3 days ago.Profile DetailsProvider ID1285094193Provider TypeIndividualFull NameLayne, KerrisGenderFemaleSole ProprietorYesEnumeration Date3/4/2016Last Updated3/1/2017Contact InformationPractice LocationPractice Address7141 S Western Ave, Oklahoma City, OK 73139-2000Phone(405) 339-2097FaxUnlisted FaxMailing LocationMailing AddressPO Box 6211, Moore, OK 73153-0211Phone(405) 339-2097FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense00000000000000000000Oklahoma