Individual ProviderTaiwannesha Lashawn PorterCase Manager/Care CoordinatorOther Service ProvidersPractice Address158 Amaretto Dr, Opelousas, LA 70570-0793(337) 290-9016PECOS EnrollmentBased on the most recent information from CMS, provider Taiwannesha Lashawn Porter 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 today at 10:05 AM.Profile DetailsProvider ID1396325189Provider TypeIndividualFull NamePorter, Taiwannesha LashawnGenderFemaleSole ProprietorYesEnumeration Date4/14/2021Last Updated7/6/2021Contact InformationPractice LocationPractice Address158 Amaretto Dr, Opelousas, LA 70570-0793Phone(337) 290-9016FaxUnlisted FaxMailing LocationMailing Address158 Amaretto Dr, Opelousas, LA 70570-0793Phone(337) 290-9016FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer