Individual ProviderKatasha DavisCounselorBehavioral Health & Social Service ProvidersPractice Address129 Woodcote Dr, Gaston, SC 29053-8449(803) 546-4834PECOS EnrollmentBased on the most recent information from CMS, provider Katasha Davis 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 2 days ago.Profile DetailsProvider ID1295181485Provider TypeIndividualFull NameDavis, KatashaGenderFemaleSole ProprietorYesEnumeration Date5/6/2016Last Updated5/6/2016Contact InformationPractice LocationPractice Address129 Woodcote Dr, Gaston, SC 29053-8449Phone(803) 546-4834FaxUnlisted FaxMailing LocationMailing Address129 Woodcote Dr, Gaston, SC 29053-8449Phone(803) 546-4834FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer