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Katrina Ausley

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Katrina Ausley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1386129062
Provider Type
Individual
Full Name
Ausley, Katrina
Gender
Female

Sole Proprietor
No
Enumeration Date
9/28/2018
Last Updated
7/20/2020

Contact Information

Practice Location

219 Cook St, Brandon, FL 33511-5216

(813) 480-8482

Unlisted Fax

Mailing Location

PO Box 14, Brandon, FL 33509-0014

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID SW17382	Description Other	Issuer LCSW Florida

Katrina Ausley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Dixon, Caitlin

Greene, Arthur

Ford, Alexis Shernita

Obringer, Leah Christine

Hall, Starr

Vasquez, Jolissa Marie

Quiles, Christian D.

Ebanks, Jannedra

Pereira, Hanzel

Thomas-Masso, Demetria