Neashion Marie Davis | Vidalia, LA • PECOS Search

Neashion Marie Davis

Counselor

Behavioral Health & Social Service Providers

1644 B Carter Street. Suite #2, Vidalia, LA 71373

(318) 414-3065 (601) 597-0403

PECOS Enrollment

Based on the most recent information from CMS, provider Neashion Marie Davis 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 9:54 AM.

Profile Details

Provider ID
1720562556
Provider Type
Individual
Full Name
Davis, Neashion Marie
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/18/2018
Last Updated
9/18/2018

Contact Information

Practice Location

1644 B Carter Street. Suite #2, Vidalia, LA 71373

(318) 414-3065

Mailing Location

76 Steam Plant Road, Natchez, MS 39120

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer