Individual ProviderCarol Kawanis WilliamsCounselorBehavioral Health & Social Service ProvidersPractice Address1644 Carter St, Vidalia, LA 71373-3143(318) 414-3065PECOS EnrollmentBased on the most recent information from CMS, provider Carol Kawanis Williams 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 9:54 AM.Profile DetailsProvider ID1770077109Provider TypeIndividualFull NameWilliams, Carol KawanisGenderFemaleSole ProprietorNoEnumeration Date6/19/2018Last Updated7/23/2021Contact InformationPractice LocationPractice Address1644 Carter St, Vidalia, LA 71373-3143Phone(318) 414-3065FaxUnlisted FaxMailing LocationMailing Address1644 Carter St, Vidalia, LA 71373-3143PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer