Individual ProviderLadonna Kay Washington-HarperCounselorBehavioral Health & Social Service ProvidersPractice Address1109 Carter St, Suite 10, Vidalia, LA 71373-3227(318) 336-4700PECOS EnrollmentBased on the most recent information from CMS, provider Ladonna Kay Washington-Harper 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 ID1558711721Provider TypeIndividualFull NameWashington-Harper, Ladonna KayTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date6/17/2016Last Updated6/17/2016Contact InformationPractice LocationPractice Address1109 Carter St, Suite 10, Vidalia, LA 71373-3227Phone(318) 336-4700Fax(318) 336-4777Mailing LocationMailing Address1109 Carter St, Suite 10, Vidalia, LA 71373-3227Phone(318) 336-4700Fax(318) 336-4777Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerLouisianaProvider IdentifiersIDDescriptionIssuerID1561444DescriptionMedicaidIssuerUnlistedLouisiana