Tara D Bordelon | Alexandria, LA • PECOS Search

Tara D Bordelon

Social Worker

Behavioral Health & Social Service Providers

4012 Parliament Dr, Alexandria, LA 71303-3017

(318) 290-4511 (318) 730-9598

PECOS Enrollment

Based on the most recent information from CMS, provider Tara D Bordelon 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 11:13 AM.

Profile Details

Provider ID
1700838026
Provider Type
Individual
Full Name
Bordelon, Tara D
Title
Ms.
Credential
MSW, LCSW, BACS

Gender
Female
Sole Proprietor
No
Enumeration Date
5/16/2006
Last Updated
8/24/2020

Contact Information

Practice Location

4012 Parliament Dr, Alexandria, LA 71303-3017

Unlisted Fax

Mailing Location

142 Pecan Row Ln, Alexandria, LA 71303-8711

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 8142 Louisiana