Individual ProviderBryan N/A WhiteCase Manager/Care CoordinatorOther Service ProvidersPractice Address2331 Canal St, New Orleans, LA 70119(504) 304-3737(504) 669-5306PECOS EnrollmentBased on the most recent information from CMS, provider Bryan N/A White 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 2 days ago.Profile DetailsProvider ID1568959799Provider TypeIndividualFull NameWhite, Bryan N/ATitleMr.GenderMaleSole ProprietorYesEnumeration Date4/13/2018Last Updated6/1/2018Contact InformationPractice LocationPractice Address2331 Canal St, New Orleans, LA 70119Phone(504) 304-3737FaxUnlisted FaxMailing LocationMailing Address126 Goldsmith St, Jefferson, LA 70121-4014Phone(504) 669-5306FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerLouisiana