Individual ProviderMeca HerreraBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514(706) 221-8966PECOS EnrollmentBased on the most recent information from CMS, provider Meca Herrera 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 ID1336657030Provider TypeIndividualFull NameHerrera, MecaGenderFemaleSole ProprietorYesEnumeration Date1/16/2018Last Updated1/16/2018Contact InformationPractice LocationPractice Address6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514Phone(706) 221-8966FaxUnlisted FaxMailing LocationMailing Address6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense1616980GeorgiaProvider IdentifiersIDDescriptionIssuerID071423DescriptionOtherIssuerCPHGeorgia