Individual ProviderQuentin CalhounCounselorBehavioral Health & Social Service ProvidersPractice Address4012 Carter St, Vidalia, LA 71373-3013(318) 537-4675PECOS EnrollmentBased on the most recent information from CMS, provider Quentin Calhoun 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 9:54 AM.Profile DetailsProvider ID1487173365Provider TypeIndividualFull NameCalhoun, QuentinGenderMaleSole ProprietorNoEnumeration Date9/12/2017Last Updated9/12/2017Contact InformationPractice LocationPractice Address4012 Carter St, Vidalia, LA 71373-3013Phone(318) 537-4675FaxUnlisted FaxMailing LocationMailing Address1007 Wayne Cir, Monroe, LA 71202-5931PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer