Individual ProviderChassidy Kashunda AddisonCase Manager/Care CoordinatorOther Service ProvidersPractice Address902 C M Fagan Dr, Suite H, Hammond, LA 70403(985) 542-2223PECOS EnrollmentBased on the most recent information from CMS, provider Chassidy Kashunda Addison 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 8 days ago.Profile DetailsProvider ID1750627063Provider TypeIndividualFull NameAddison, Chassidy KashundaTitleMissCredentialM.A.GenderFemaleSole ProprietorNoEnumeration Date12/14/2012Last Updated6/6/2018Contact InformationPractice LocationPractice Address902 C M Fagan Dr, Suite H, Hammond, LA 70403Phone(985) 542-2223Fax(985) 542-2206Mailing LocationMailing Address902 C M Fagan Dr, Suite H, Hammond, LA 70403-6043Phone(985) 542-2223Fax(985) 542-2206Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer