Sarai Johnson | Vidalia, LA • PECOS Search

Sarai Johnson

Counselor

Behavioral Health & Social Service Providers

1644 B Carter Street Suite 2, Vidalia, LA 71373

(318) 414-3065 (601) 597-9191

PECOS Enrollment

Based on the most recent information from CMS, provider Sarai Johnson 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 9:54 AM.

Profile Details

Provider ID
1457801136
Provider Type
Individual
Full Name
Johnson, Sarai
Title
Dr.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/6/2016
Last Updated
10/6/2016

Contact Information

Practice Location

1644 B Carter Street Suite 2, Vidalia, LA 71373

Unlisted Fax

Mailing Location

542 Johnson Rd, Lorman, MS 39096-7002

Unlisted Fax

Provider Taxonomies

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