Mary Laskeisha Nelson | Vidalia, LA • PECOS Search

Mary Laskeisha Nelson

Counselor

Behavioral Health & Social Service Providers

4012 Carter St, Vidalia, LA 71373-3013

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Laskeisha Nelson 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
1801259577
Provider Type
Individual
Full Name
Nelson, Mary Laskeisha
Title
Ms.
Credential
NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
3/31/2016
Last Updated
4/6/2016

Contact Information

Practice Location

4012 Carter St, Vidalia, LA 71373-3013

Unlisted Fax

Mailing Location

4012 Carter St, Vidalia, LA 71373-3013

Unlisted Fax

Provider Taxonomies

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