Individual ProviderChristine M. TalleySocial WorkerBehavioral Health & Social Service ProvidersPractice Address2319 Jake Dr, Opelousas, LA 70570-7707(337) 735-4603(859) 797-6977PECOS EnrollmentBased on the most recent information from CMS, provider Christine M. Talley 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 ID1811269830Provider TypeIndividualFull NameTalley, Christine M.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/7/2012Last Updated3/24/2022Contact InformationPractice LocationPractice Address2319 Jake Dr, Opelousas, LA 70570-7707Phone(337) 735-4603FaxUnlisted FaxMailing LocationMailing Address111 Banister Ct Apt 1319, Lafayette, LA 70507-3257Phone(859) 797-6977FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense14755LouisianaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer