Individual ProviderMeredith Fort DuboseSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111-4739(817) 233-8590PECOS EnrollmentBased on the most recent information from CMS, provider Meredith Fort Dubose 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 3 days ago.Profile DetailsProvider ID1689930588Provider TypeIndividualFull NameDubose, Meredith FortCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date4/4/2012Last Updated10/25/2021Contact InformationPractice LocationPractice Address6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111-4739Phone(817) 233-8590FaxUnlisted FaxMailing LocationMailing Address7833 S Magnolia Way, Centennial, CO 80112-2546Phone(817) 233-8590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11567Louisiana