Individual ProviderSarah R CunninghamPsychologistBehavioral Health & Social Service ProvidersPractice Address2500 N State St, Jackson, MS 39216-4500(601) 984-5855PECOS EnrollmentBased on the most recent information from CMS, provider Sarah R Cunningham 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 12:57 PM.Profile DetailsProvider ID1518467901Provider TypeIndividualFull NameCunningham, Sarah RTitleDr.CredentialPHDGenderFemaleSole ProprietorNoEnumeration Date2/13/2018Last Updated2/13/2018Contact InformationPractice LocationPractice Address2500 N State St, Jackson, MS 39216-4500Phone(601) 984-5855FaxUnlisted FaxMailing LocationMailing Address2500 N State St, Jackson, MS 39216-4500Phone(601) 984-5855FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense581018MississippiCode103TC0700XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense0810005860Virginia