Individual ProviderLatoya Patrice FlemingCounselorBehavioral Health & Social Service ProvidersPractice Address1644 Carter St, Vidalia, LA 71373-3143(318) 414-3065PECOS EnrollmentBased on the most recent information from CMS, provider Latoya Patrice Fleming 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 ID1508359498Provider TypeIndividualFull NameFleming, Latoya PatriceGenderFemaleSole ProprietorYesEnumeration Date6/14/2018Last Updated6/14/2018Contact InformationPractice LocationPractice Address1644 Carter St, Vidalia, LA 71373-3143Phone(318) 414-3065FaxUnlisted FaxMailing LocationMailing Address1644 Carter St, Vidalia, LA 71373-3143PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer