Glynis Victoria Elizabeth Rennels | Lafayette, LA • PECOS Search

Glynis Victoria Elizabeth Rennels

Social Worker

Behavioral Health & Social Service Providers

143 Ridgeway Dr Ste 106, Lafayette, LA 70503-3410

(337) 993-1960 (337) 962-4017

PECOS Enrollment

Based on the most recent information from CMS, provider Glynis Victoria Elizabeth Rennels 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 11:05 AM.

Profile Details

Provider ID
1538725510
Provider Type
Individual
Full Name
Rennels, Glynis Victoria Elizabeth
Credential
LCSW-BACS

Gender
Female
Sole Proprietor
No
Enumeration Date
5/14/2019
Last Updated
7/22/2022

Contact Information

Practice Location

143 Ridgeway Dr Ste 106, Lafayette, LA 70503-3410

(337) 993-1961

Mailing Location

100 Elmwood Dr, Lafayette, LA 70503-5117

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 4383 Louisiana