Individual ProviderTakeshia JeffersonCounselorBehavioral Health & Social Service ProvidersPractice Address1701 White St, Mccomb, MS 39648-2711(601) 249-4217PECOS EnrollmentBased on the most recent information from CMS, provider Takeshia Jefferson 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 9:15 AM.Profile DetailsProvider ID1497165765Provider TypeIndividualFull NameJefferson, TakeshiaGenderFemaleSole ProprietorNoEnumeration Date5/7/2014Last Updated5/7/2014Contact InformationPractice LocationPractice Address1701 White St, Mccomb, MS 39648-2711Phone(601) 249-4217Fax(601) 249-4234Mailing LocationMailing Address1701 White St, Mccomb, MS 39648-2711Phone(601) 249-4217Fax(601) 249-4234Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer