OrganizationMary DeanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address333 S Main St, Opelousas, LA 70570-6137(337) 945-1032PECOS EnrollmentBased on the most recent information from CMS, provider Mary Dean 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 10:05 AM.Profile DetailsProvider ID1710424932Provider TypeOrganizationFull NameMary DeanSubpartNoEnumeration Date1/25/2017Last Updated1/25/2017Contact InformationPractice LocationPractice Address333 S Main St, Opelousas, LA 70570-6137Phone(337) 945-1032Fax(337) 205-8531Mailing LocationMailing Address333 S Main St, Opelousas, LA 70570-6137Phone(337) 945-1032Fax(337) 205-8531Authorized OfficialNameDean, Mary M (Therapist)Phone(469) 585-6732Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense12743LouisianaProvider IdentifiersIDDescriptionIssuerID600991533DescriptionMedicaidIssuerUnlistedLouisiana