Individual ProviderChantelle SimsCase Manager/Care CoordinatorOther Service ProvidersPractice Address122 Saylock Ln, Opelousas, LA 70570-1791(337) 290-9844PECOS EnrollmentBased on the most recent information from CMS, provider Chantelle Sims 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 2 days ago.Profile DetailsProvider ID1780041368Provider TypeIndividualFull NameSims, ChantelleGenderFemaleSole ProprietorYesEnumeration Date1/27/2016Last Updated5/13/2019Contact InformationPractice LocationPractice Address122 Saylock Ln, Opelousas, LA 70570-1791Phone(337) 290-9844FaxUnlisted FaxMailing LocationMailing Address122 Saylock Ln, Opelousas, LA 70570-1791Phone(337) 290-9844FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer