Individual ProviderTashiana WhiteheadSocial WorkerBehavioral Health & Social Service ProvidersPractice Address710 Versailles Blvd, Alexandria, LA 71303-2351(318) 625-8776PECOS EnrollmentBased on the most recent information from CMS, provider Tashiana Whitehead 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 11:13 AM.Profile DetailsProvider ID1346045101Provider TypeIndividualFull NameWhitehead, TashianaGenderFemaleSole ProprietorYesEnumeration Date2/17/2025Last Updated2/24/2025Contact InformationPractice LocationPractice Address710 Versailles Blvd, Alexandria, LA 71303-2351Phone(318) 625-8776FaxUnlisted FaxMailing LocationMailing Address710 Versailles Blvd, Alexandria, LA 71303-2351PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense18018LouisianaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer