Individual ProviderKristie Lynette SherbiaCounselorBehavioral Health & Social Service ProvidersPractice Address204 Airport Road, Vidalia, LA 71373(318) 323-1300PECOS EnrollmentBased on the most recent information from CMS, provider Kristie Lynette Sherbia 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 ID1821510751Provider TypeIndividualFull NameSherbia, Kristie LynetteGenderFemaleSole ProprietorYesEnumeration Date7/12/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address204 Airport Road, Vidalia, LA 71373Phone(318) 323-1300FaxUnlisted FaxMailing LocationMailing Address204 Airport Rd, Vidalia, LA 71373-3449Phone(318) 323-1300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerLouisiana